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Ms. Colleen J Nietz, BA,LADC
Addiction (Substance Use Disorder) Counselor in Stillwater, Minnesota
NPI 1154611309

Colleen J Nietz is an Addiction (Substance Use Disorder) Counselor based in Stillwater, MN and is specialized in Addiction (Substance Use Disorder). Colleen J Nietz practices in Stillwater, MN and has the professional credentials of BA,LADC. The NPI Number for Colleen J Nietz is 1154611309 and holds a License No. 302846 (Minnesota).

The current practice location address for Colleen J Nietz is 1825 Curve Crest Blvd W, Stillwater, MN and can be reached out via phone at 612-351-8375.

Location: 1825 Curve Crest Blvd W, Stillwater, MN, 55082-5090
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154611309
Provider Name
Colleen J Nietz
Credential
BA,LADC
Provider Entity Type
Individual
Gender
Female
Address
1825 Curve Crest Blvd W, Stillwater, MN, 55082-5090
Phone Number
612-351-8375
Fax Number
Provider Enumeration Date
04/08/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1825 Curve Crest Blvd W
City
Stillwater
State
Minnesota
Zip
55082-5090
Phone Number
612-351-8375
Fax Number
person
Provider Business Mailing Address Details
Address
1825 Curve Crest Blvd W
City
Stillwater
State
Minnesota
Zip
55082-5090
Phone Number
612-351-8375
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
302846 (Minnesota)
Definition
Definition to come...
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