person
John Cassidy, LADC
Addiction (Substance Use Disorder) Counselor in Stillwater, Minnesota
NPI 1174531982

John Cassidy is an Addiction (Substance Use Disorder) Counselor based in Oakdale, MN and is specialized in Addiction (Substance Use Disorder). John Cassidy practices in Stillwater, MN and has the professional credentials of LADC. The NPI Number for John Cassidy is 1174531982 and holds a License No. 300491 (Minnesota).

The current practice location address for John Cassidy is 375 Orleans St E, Stillwater, MN and can be reached out via phone at 651-430-2720 and via fax at 651-251-3155.

Location: 375 Orleans St E, Stillwater, MN, 55128-3937
person
Provider Profile Details
NPI Number
1174531982
Provider Name
John Cassidy
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
375 Orleans St E, Stillwater, MN, 55128-3937
Phone Number
651-430-2720
Fax Number
651-251-3155
Provider Enumeration Date
08/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
57422KU 01 MN BCBS
1007499 01 MN P1
106221 01 MN UC
20094 01 MN HP
84-61062 01 MN UBH
institution
Provider Business Practice Location Address Details
Address
375 Orleans St E
City
State
Zip
55082-5830
Phone Number
651-430-2720
Fax Number
651-251-3155
person
Provider Business Mailing Address Details
Address
375 Orleans St E
City
State
Zip
55082-5830
Phone Number
651-430-2720
Fax Number
651-251-3155
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
300491 (Minnesota)
Definition
Definition to come...
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