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Ms. Roxanne Kibben, LADC
Addiction (Substance Use Disorder) Counselor in Maplewood, Minnesota
NPI 1174095483

Roxanne Kibben is an Addiction (Substance Use Disorder) Counselor based in Maplewood, MN and is specialized in Addiction (Substance Use Disorder). Roxanne Kibben practices in Maplewood, MN and has the professional credentials of LADC. The NPI Number for Roxanne Kibben is 1174095483 and holds a License No. 300773 (Minnesota).

The current practice location address for Roxanne Kibben is 1695 Edgemont St, Maplewood, MN and can be reached out via phone at 443-822-6747.

Location: 1695 Edgemont St, Maplewood, MN, 55117-2416
person
Provider Profile Details
NPI Number
1174095483
Provider Name
Roxanne Kibben
Credential
LADC
Provider Entity Type
Individual
Gender
Female
Address
1695 Edgemont St, Maplewood, MN, 55117-2416
Phone Number
443-822-6747
Fax Number
Provider Enumeration Date
12/27/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300773 01 MN LICENSED ALCOHOL DRUG COUNSELOR
institution
Provider Business Practice Location Address Details
Address
1695 Edgemont St
City
State
Zip
55117-2416
Phone Number
443-822-6747
Fax Number
person
Provider Business Mailing Address Details
Address
1695 Edgemont St
City
State
Zip
55117-2416
Phone Number
443-822-6747
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
300773 (Minnesota)
Definition
Definition to come...
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