Organization · Type 2 NPI

Odyssey County Home School

Addiction (Substance Use Disorder) Counselor · Minnetonka, MN

NPI number 1912110651 Active

Practice location

14300 Cty Rd 62
Minnetonka, MN 55345

Mailing address

550 Main St
New Brighton, MN 55112-3271

Specialties and licenses

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

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About NPI 1912110651

Odyssey County Home School's National Provider Identifier is 1912110651, issued on May 8, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Minnetonka, MN. The record was last updated on Aug 22, 2020.