Individual provider · Type 1 NPI
Gregory John Robertson, LADC
Addiction (Substance Use Disorder) Counselor · St. Paul, MN
NPI number
1881230134
Active
Practice location
1380 Energy Ln Ste 203
St. Paul, MN 55108-5253
Fax (651) 212-4884
Mailing address
6969 Valley Creek Road, 220
Woodbury, MN 55125
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 300291 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1881230134
Gregory John Robertson, LADC's National Provider Identifier is 1881230134, issued on Nov 21, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Paul, MN. The record was last updated on Nov 21, 2019.