Michael John Mader, LADC
NPI #1972100675 in Stillwater, Minnesota
Provider Information
- NPI Number
- 1972100675
- Entity Type
- Individual
- Name
- Michael John Mader, LADC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LADC
- Enumeration Date
- Oct 6, 2020
- Last Updated
- Oct 6, 2020
Practice Location
- Address
- 375 ORLEANS ST E
- City
- Stillwater
- State
- Minnesota
- ZIP Code
- 55082-5830
- Phone
- (612) 368-5713
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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