person
Mary Hodge
Addiction (Substance Use Disorder) Counselor in Roseville, Minnesota
NPI 1255846168

Mary Hodge is an Addiction (Substance Use Disorder) Counselor based in Roseville, MN and is specialized in Addiction (Substance Use Disorder). Mary Hodge practices in Roseville, MN. The NPI Number for Mary Hodge is 1255846168 and holds a License No. 303575 (Minnesota).

The current practice location address for Mary Hodge is 2311 Woodbridge St, Roseville, MN and can be reached out via phone at 651-773-0832 and via fax at 651-773-9115.

Location: 2311 Woodbridge St, Roseville, MN, 55113-4710
person
Provider Profile Details
NPI Number
1255846168
Provider Name
Mary Hodge
Credential
Provider Entity Type
Individual
Gender
Female
Address
2311 Woodbridge St, Roseville, MN, 55113-4710
Phone Number
651-773-0832
Fax Number
651-773-9115
Provider Enumeration Date
12/14/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2311 Woodbridge St
City
State
Zip
55113-4710
Phone Number
651-773-0832
Fax Number
651-773-9115
person
Provider Business Mailing Address Details
Address
2311 Woodbridge St
City
State
Zip
55113-4710
Phone Number
651-773-0832
Fax Number
651-773-9115
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
303575 (Minnesota)
Definition
Definition to come...
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