Organization · Type 2 NPI
Kingdom In Action
Addiction (Substance Use Disorder) Counselor · St. Louis Park, MN
NPI number
1841698339
Active
Practice location
9500 Minnetonka Blvd
St. Louis Park, MN 55426-2944
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 1075563-2-CDT (MN) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1075563-2-CDT (MN) |
| Mental Health Counselor | 101YM0800X | 1075563-2-CDT (MN) |
| Pastoral Counselor | 101YP1600X | 1075563-2-CDT (MN) |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 1075563-2-CDT (MN) |
| Clinical Psychologist | 103TC0700X | 1075563-2-CDT (MN) |
| Counseling Psychologist | 103TC1900X | 1075563-2-CDT (MN) |
| Exclusive Provider Organization | 302F00000X | 1075563 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1841698339
Kingdom In Action's National Provider Identifier is 1841698339, issued on Dec 15, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Louis Park, MN. The record was last updated on Mar 6, 2017.