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Bianca Lee Bodine-haag, LADC
Addiction (Substance Use Disorder) Counselor in Minneapolis, Minnesota
NPI 1245996149

Bianca Lee Bodine-haag is an Addiction (Substance Use Disorder) Counselor based in Saint Paul, MN and is specialized in Addiction (Substance Use Disorder). Bianca Lee Bodine-haag practices in Minneapolis, MN and has the professional credentials of LADC. The NPI Number for Bianca Lee Bodine-haag is 1245996149 and holds a License No. CC03877 (Minnesota).

The current practice location address for Bianca Lee Bodine-haag is 1409 Willow St Ste 400, Minneapolis, MN and can be reached out via phone at 612-445-0225 and via fax at 612-445-0112.

Location: 1409 Willow St Ste 400, Minneapolis, MN, 55116-1237
person
Provider Profile Details
NPI Number
1245996149
Provider Name
Bianca Lee Bodine-haag
Credential
LADC
Provider Entity Type
Individual
Gender
Female
Address
1409 Willow St Ste 400, Minneapolis, MN, 55116-1237
Phone Number
612-445-0225
Fax Number
612-445-0112
Provider Enumeration Date
11/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1409 Willow St Ste 400
City
State
Zip
55403-3251
Phone Number
612-445-0225
Fax Number
612-445-0112
person
Provider Business Mailing Address Details
Address
1409 Willow St Ste 400
City
State
Zip
55403-3251
Phone Number
612-445-0225
Fax Number
612-445-0112
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
305716 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CC03877 (Minnesota)
Definition
Definition to come...
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