Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1417969601
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
7590, Lyric Lane Northeast, Fridley, Anoka County, Minnesota, 55432, United States
FRIDLEY, MN 554323251
Phone: (763) 236-4300
Fax: (763) 236-4370
Type: Location
172nd Avenue Northwest, Andover, Anoka County, Minnesota, 55304, United States
ANDOVER, MN 553044765
Phone: (763) 434-9268
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 55432)
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