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Ms. Carolyn J Niesche
Addiction (Substance Use Disorder) Counselor in Minneapolis, Minnesota
NPI 1265080501

Carolyn J Niesche is an Addiction (Substance Use Disorder) Counselor based in Minneapolis, MN and is specialized in Addiction (Substance Use Disorder). Carolyn J Niesche practices in Minneapolis, MN. The NPI Number for Carolyn J Niesche is 1265080501 and holds a License No. (Minnesota).

The current practice location address for Carolyn J Niesche is 2520 N 2Nd St, Minneapolis, MN and can be reached out via phone at 612-521-4178.

Location: 2520 N 2Nd St, Minneapolis, MN, 55411-2200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265080501
Provider Name
Carolyn J Niesche
Credential
Provider Entity Type
Individual
Gender
Female
Address
2520 N 2Nd St, Minneapolis, MN, 55411-2200
Phone Number
612-521-4178
Fax Number
Provider Enumeration Date
08/29/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
175T00000X 05 MN
institution
Provider Business Practice Location Address Details
Address
2520 N 2Nd St
City
Minneapolis
State
Minnesota
Zip
55411-2200
Phone Number
612-521-4178
Fax Number
person
Provider Business Mailing Address Details
Address
2520 N 2Nd St
City
Minneapolis
State
Minnesota
Zip
55411-2200
Phone Number
612-521-4178
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.
(Minnesota)
Definition
Definition to come...
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