Individual provider · Type 1 NPI
Alice Ethel Nordlum
Addiction (Substance Use Disorder) Counselor · North Branch, MN
NPI number
1891297024
Active
Practice location
5842 Old Main St Ste 2
North Branch, MN 55056-6687
Fax (651) 674-2534
Mailing address
1175 N Ryan Lake Rd NE
Isanti, MN 55040-6146
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 304361 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
Other addiction (substance use disorder) counselor providers in North Branch
- Cynthia Artz, BS, LADCAddiction (Substance Use Disorder) Counselor North Branch, MN NPI 1699230730
- Michele Marie Hansel, ADC-TAddiction (Substance Use Disorder) Counselor North Branch, MN NPI 1760198568
- Amanda Marie Simonson, LADCAddiction (Substance Use Disorder) Counselor North Branch, MN NPI 1760771034
- Rebecca Sue Paulon, LADCAddiction (Substance Use Disorder) Counselor North Branch, MN NPI 1821710740
About NPI 1891297024
Alice Ethel Nordlum's National Provider Identifier is 1891297024, issued on Mar 4, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in North Branch, MN. The record was last updated on Mar 4, 2018.