person
Nicholaus E Widing, LADC
Addiction (Substance Use Disorder) Counselor in Oakdale, Minnesota
NPI 1740433796

Nicholaus E Widing is an Addiction (Substance Use Disorder) Counselor based in Oakdale, MN and is specialized in Addiction (Substance Use Disorder). Nicholaus E Widing practices in Oakdale, MN and has the professional credentials of LADC. The NPI Number for Nicholaus E Widing is 1740433796 and holds a License No. 302362 (Minnesota).

The current practice location address for Nicholaus E Widing is 7066 Stillwater Blvd N, Oakdale, MN and can be reached out via phone at 651-777-5222 and via fax at 651-251-5111.

Location: 7066 Stillwater Blvd N, Oakdale, MN, 55128-3937
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Provider Profile Details
NPI Number
1740433796
Provider Name
Nicholaus E Widing
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
7066 Stillwater Blvd N, Oakdale, MN, 55128-3937
Phone Number
651-777-5222
Fax Number
651-251-5111
Provider Enumeration Date
11/03/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
57422KU 01 MN BLUE CROSS/BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
7066 Stillwater Blvd N
City
State
Zip
55128-3937
Phone Number
651-777-5222
Fax Number
651-251-5111
person
Provider Business Mailing Address Details
Address
7066 Stillwater Blvd N
City
State
Zip
55128-3937
Phone Number
651-777-5222
Fax Number
651-251-5111
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
302362 (Minnesota)
Definition
Definition to come...
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