Individual provider · Type 1 NPI

Robert Francis Squillace, LADC

Addiction (Substance Use Disorder) Counselor · New Brighton, MN

NPI number 1881147460 Active

Practice location

1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X304209 (MN)
Counselor 101Y00000X304209 (MN)

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

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About NPI 1881147460

Robert Francis Squillace, LADC's National Provider Identifier is 1881147460, issued on Jul 29, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in New Brighton, MN. The record was last updated on Aug 16, 2016.