Individual provider · Type 1 NPI
Teresa Mary Rock, BES, LADC
Addiction (Substance Use Disorder) Counselor · St. Cloud, MN
NPI number
1922500594
Active
Practice location
1406 6th Avenue North
St. Cloud, MN 56303
Fax (320) 656-7009
Mailing address
1406 Sixth Avenue North
St. Cloud, MN 56303
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 301257 (MN) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1922500594
Teresa Mary Rock, BES, LADC's National Provider Identifier is 1922500594, issued on Feb 28, 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 28, 2018.