Individual provider · Type 1 NPI

Courtney Grace Simonette, LADC

Addiction (Substance Use Disorder) Counselor · Mankato, MN

NPI number 1861023129 Active

Practice location

44 Good Counsel Dr
Mankato, MN 56001-6599

Fax (262) 345-5562

Mailing address

W175N11120 Stonewood Dr
Germantown, WI 53022-4799

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1861023129

Courtney Grace Simonette, LADC's National Provider Identifier is 1861023129, issued on Jan 27, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mankato, MN. The record was last updated on Jan 27, 2020.