MR. John Thomas Maclin JR., LICENSED ALCOHOL DRU
NPI #1447497920 in Brooklyn Park, Minnesota
Provider Information
- NPI Number
- 1447497920
- Entity Type
- Individual
- Name
- MR. John Thomas Maclin JR., LICENSED ALCOHOL DRU
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LICENSED ALCOHOL DRU
- Enumeration Date
- Jan 21, 2009
- Last Updated
- Feb 16, 2018
Practice Location
- Address
- 8500 EDINBROOK PARKWAY #A
- City
- Brooklyn Park
- State
- Minnesota
- ZIP Code
- 55443
- Phone
- (612) 462-0826
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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