Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1376774802
Addiction (Substance Use Disorder) Counselor
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Jackson St Ne, Northeast Lowry Avenue, Holland, Northeast, Minneapolis, Hennepin County, Minnesota, 55418, United States
105
MINNEAPOLIS, MN 554131672
Phone: (612) 977-1820
Fax: (612) 236-1701
Type: Location
73rd Avenue North, Brooklyn Park, Hennepin County, Minnesota, 55445, United States
BROOKLYN PARK, MN 554291152
Phone: (612) 977-1820
Fax: (162) 236-1701
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55413)
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