Individual provider · Type 1 NPI

Terry Rose Katusky, LADC

Addiction (Substance Use Disorder) Counselor · St. Paul, MN

NPI number 1801189600 Active

Practice location

135 Colorado St E
St. Paul, MN 55107-2244

Mailing address

5564 129th Dr N
Hugo, MN 55038-8462

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X301583 (MN)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1801189600

Terry Rose Katusky, LADC's National Provider Identifier is 1801189600, issued on May 26, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Paul, MN. The record was last updated on May 26, 2011.