Individual provider · Type 1 NPI
Debra Lynn Wacholz, BS, LADC
Addiction (Substance Use Disorder) Counselor · Rochester, MN
NPI number
1821376120
Active
Practice location
343 Woodlake Dr SE
Rochester, MN 55904-6242
Fax (507) 535-5783
Mailing address
2145 Kenneth Dr
Albert Lea, MN 56007-4012
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 303120 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1821376120
Debra Lynn Wacholz, BS, LADC's National Provider Identifier is 1821376120, issued on Aug 3, 2011. 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 Aug 3, 2011.