Individual provider · Type 1 NPI

Lisa Jean Gerold, LADC

Addiction (Substance Use Disorder) Counselor · Minneapolis, MN

NPI number 1831447937 Active

Practice location

3329 University Ave SE
Minneapolis, MN 55414-3325

Call (612) 454-2261 Map

Fax (612) 454-2340

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X302884 (MN)

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

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About NPI 1831447937

Lisa Jean Gerold, LADC's National Provider Identifier is 1831447937, issued on Aug 21, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Minneapolis, MN. The record was last updated on Aug 21, 2012.