Individual provider · Type 1 NPI
Corey Robert Kanz, MA, LADC
Addiction (Substance Use Disorder) Counselor · Rochester, MN
NPI number
1760977763
Active
Practice location
343 Woodlake Dr SE
Rochester, MN 55904-6242
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 305151 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1760977763
Corey Robert Kanz, MA, LADC's National Provider Identifier is 1760977763, issued on Jun 22, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Rochester, MN. The record was last updated on Jun 22, 2018.