Linda Bongo, LADC
NPI #1295126720 in Alexandria, Minnesota
Provider Information
- NPI Number
- 1295126720
- Entity Type
- Individual
- Name
- Linda Bongo, LADC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LADC
- Enumeration Date
- Feb 5, 2015
- Last Updated
- Feb 5, 2015
Practice Location
- Address
- 909 BROADWAY
- City
- Alexandria
- State
- Minnesota
- ZIP Code
- 56308-2793
- Phone
- (320) 763-0124
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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