Individual provider · Type 1 NPI
Mitchell J. Roggenbuck, LADC
Addiction (Substance Use Disorder) Counselor · Crookston, MN
NPI number
1811164411
Active
Practice location
323 S Minnesota St
Crookston, MN 56716-1601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 301204 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1811164411
Mitchell J. Roggenbuck, LADC's National Provider Identifier is 1811164411, issued on May 13, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Crookston, MN. The record was last updated on May 13, 2008.