Individual provider · Type 1 NPI

Beverly Ione Archer

Addiction (Substance Use Disorder) Counselor · St. Cloud, MN

NPI number 1891294211 Active

Practice location

1406 6th Ave North
St. Cloud, MN 56303-1901

Fax (320) 656-7009

Mailing address

1406 6th Ave N
St. Cloud, MN 56303-1900

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X301552 (MN)

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

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About NPI 1891294211

Beverly Ione Archer's National Provider Identifier is 1891294211, issued on Feb 12, 2018. 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 Feb 12, 2018.