Individual provider · Type 1 NPI

PA Xiong Nodalo, LPCC, LADC

Professional Counselor · Fridley, MN

NPI number 1922554948 Active

Practice location

1250 Moore Lake Dr E Ste 152
Fridley, MN 55432-5135

Call (612) 389-2332 Map

Fax (612) 389-2338

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X304280 (MN)
Professional Counselor Primary 101YP2500X5183 (MN)

Professional Counselor: Definition to come...

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About NPI 1922554948

PA Xiong Nodalo, LPCC, LADC's National Provider Identifier is 1922554948, issued on Aug 30, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fridley, MN. The record was last updated on Sep 2, 2025.