Avalon Stillware
NPI #1346454352 in Stillwater, Minnesota
Provider Information
- NPI Number
- 1346454352
- Entity Type
- Organization
- Organization Name
- Avalon Stillware
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- May 9, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1825 CURVE CREST BLVD W STE 103
- City
- Stillwater
- State
- Minnesota
- ZIP Code
- 55082-6054
- Phone
- (612) 326-7555
Authorized Official
- Name
- VALERIE BUNDY
- Title
- CONTROLLER
- Phone
- (612) 326-7555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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