person
Sierra Bales, LADC
Addiction (Substance Use Disorder) Counselor in North Mankato, Minnesota
NPI 1073255402

Sierra Bales is an Addiction (Substance Use Disorder) Counselor based in North Mankato, MN and is specialized in Addiction (Substance Use Disorder). Sierra Bales practices in North Mankato, MN and has the professional credentials of LADC. The NPI Number for Sierra Bales is 1073255402 and holds a License No. 305653 (Minnesota).

The current practice location address for Sierra Bales is 360 Pierce Ave Ste 206, North Mankato, MN and can be reached out via phone at 507-229-0350 and via fax at 507-216-0371.

Location: 360 Pierce Ave Ste 206, North Mankato, MN, 56003-2250
person
Provider Profile Details
NPI Number
1073255402
Provider Name
Sierra Bales
Credential
LADC
Provider Entity Type
Individual
Gender
Female
Address
360 Pierce Ave Ste 206, North Mankato, MN, 56003-2250
Phone Number
507-229-0350
Fax Number
507-216-0371
Provider Enumeration Date
04/07/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
305653 01 MN LADC LICENSE
institution
Provider Business Practice Location Address Details
Address
360 Pierce Ave Ste 206
City
State
Zip
56003-2250
Phone Number
507-229-0350
Fax Number
507-216-0371
person
Provider Business Mailing Address Details
Address
360 Pierce Ave Ste 206
City
State
Zip
56003-2250
Phone Number
507-229-0350
Fax Number
507-216-0371
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
305653 (Minnesota)
Definition
Definition to come...
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