Individual provider · Type 1 NPI
Lance E. Petschl, LADC
Professional Counselor · Minneapolis, MN
NPI number
1801495528
Active
Practice location
1404 Central Ave NE
Minneapolis, MN 55413-1517
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Professional Counselor Primary | 101YP2500X | 03420 (MN) |
Professional Counselor: Definition to come...
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About NPI 1801495528
Lance E. Petschl, LADC's National Provider Identifier is 1801495528, issued on Oct 23, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Minneapolis, MN. The record was last updated on Apr 2, 2024.