Individual provider · Type 1 NPI
Michael John Mader, LADC
Addiction (Substance Use Disorder) Counselor · Stillwater, MN
NPI number
1972100675
Active
Practice location
375 Orleans St E
Stillwater, MN 55082-5830
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 305816 (MN) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1972100675
Michael John Mader, LADC's National Provider Identifier is 1972100675, issued on Oct 6, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Stillwater, MN. The record was last updated on Oct 6, 2020.