Alice Ethel Nordlum

NPI #1891297024 in North Branch, Minnesota

Provider Information

NPI Number: 1891297024
Entity Type: Individual
Name: Alice Ethel Nordlum
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Mar 4, 2018
Last Updated: Mar 4, 2018

Practice Location

Address: 5842 OLD MAIN ST STE 2
City: North Branch
State: Minnesota
ZIP Code: 55056-6687
Phone: (651) 401-3068

Specialties & Taxonomy Codes

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

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