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Avalon - Pine City
Addiction (Substance Use Disorder) Counselor in Pine City, Minnesota
NPI 1316151335

Avalon - Pine City is an Addiction (Substance Use Disorder) Counselor based in New Brighton, MN and is specialized in Addiction (Substance Use Disorder). Avalon - Pine City practices in Pine City, MN. The NPI Number for Avalon - Pine City is 1316151335 and holds a License No. 1034226 (Minnesota).

The current practice location address for Avalon - Pine City is 655 3Rd Ave Sw, Pine City, MN and can be reached out via phone at 612-326-7555.

Location: 655 3Rd Ave Sw, Pine City, MN, 55112-3271
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316151335
Provider Name
Avalon - Pine City
Credential
Provider Entity Type
Organization
Address
655 3Rd Ave Sw, Pine City, MN, 55112-3271
Phone Number
612-326-7555
Fax Number
Provider Enumeration Date
05/09/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
655 3Rd Ave Sw
City
Pine City
State
Minnesota
Zip
55063-1443
Phone Number
612-326-7555
Fax Number
person
Provider Business Mailing Address Details
Address
655 3Rd Ave Sw
City
Pine City
State
Minnesota
Zip
55063-1443
Phone Number
612-326-7555
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.
1034226 (Minnesota)
Definition
Definition to come...
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