Haven Chemical Health

NPI #1205439569 in St Paul Park, Minnesota

Provider Information

NPI Number: 1205439569
Entity Type: Organization
Organization Name: Haven Chemical Health
Subpart: Yes (part of a larger organization)
Parent Organization: HAVEN CHEMICAL HEALTH
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Nov 19, 2020
Last Updated: Nov 19, 2020

Practice Location

Address: 950 9TH AVE
City: St Paul Park
State: Minnesota
ZIP Code: 55071-1436
Phone: (651) 734-9633

Authorized Official

Name: JENNIFER LYNN FRAZERJOHN
Title: ADMINISTRATOR
Phone: (651) 734-9633

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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Carolynne Sandbakken, LADC	Counselor - Addiction (Substance Use Disorder)	St Paul Park	AI Deep Dive
PROF. Rosemary B Williams, BCCR-LADC	Counselor - Addiction (Substance Use Disorder)	Saint Paul	AI Deep Dive

Organizations

Provider Name	Specialty	City
Haven Chemical Health Systems, LLC	Counselor - Addiction (Substance Use Disorder)	St Paul Park	AI Deep Dive
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