Individual provider · Type 1 NPI
Michelle Marie Diffenbaugh, LADC
Addiction (Substance Use Disorder) Counselor · St. Paul, MN
NPI number
1922398809
Active
Practice location
1885 University Ave, Suite 246
St. Paul, MN 55104-3489
Fax (651) 647-9147
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 302501 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1922398809
Michelle Marie Diffenbaugh, LADC's National Provider Identifier is 1922398809, issued on Apr 13, 2011. 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 Apr 13, 2011.