Individual provider · Type 1 NPI

Kevin Spading

Addiction (Substance Use Disorder) Counselor · Lake Elmo, MN

NPI number 1972592954 Active

Practice location

8669 Eagle Point Blvd
Lake Elmo, MN 55042-8628

Fax (651) 379-0434

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X300537 (MN)
Clinical Social Worker 1041C0700X12613 (MN)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1972592954

Kevin Spading's National Provider Identifier is 1972592954, issued on Oct 20, 2005. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lake Elmo, MN. The record was last updated on Jul 13, 2026.