Individual provider · Type 1 NPI
Jodi Ann Boos, LADC
Addiction (Substance Use Disorder) Counselor · St. Cloud, MN
NPI number
1851740195
Active
Practice location
3701 12th Street, Suite 203
St. Cloud, MN 56303
Fax (320) 253-1037
Mailing address
1900 Silver Lake Road NW, Suite 110
New Brighton, MN 55112
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 303816 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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- Lorrie SpanierAddiction (Substance Use Disorder) Counselor St. Cloud, MN NPI 1154820025
About NPI 1851740195
Jodi Ann Boos, LADC's National Provider Identifier is 1851740195, issued on Jun 7, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Cloud, MN. The record was last updated on Jul 20, 2016.