person
Elicia Marie Omalley, LADC
Addiction (Substance Use Disorder) Counselor in Minneapolis, Minnesota
NPI 1801172432

Elicia Marie Omalley is an Addiction (Substance Use Disorder) Counselor based in Minneapolis, MN and is specialized in Addiction (Substance Use Disorder). Elicia Marie Omalley practices in Minneapolis, MN and has the professional credentials of LADC. The NPI Number for Elicia Marie Omalley is 1801172432 and holds a License No. 302540 (Minnesota).

The current practice location address for Elicia Marie Omalley is 1911 Pleasant Avenue South, Minneapolis, MN and can be reached out via phone at 612-596-0099 and via fax at 763-475-4297.

Location: 1911 Pleasant Avenue South, Minneapolis, MN, 55403
person
Provider Profile Details
NPI Number
1801172432
Provider Name
Elicia Marie Omalley
Credential
LADC
Provider Entity Type
Individual
Gender
Female
Address
1911 Pleasant Avenue South, Minneapolis, MN, 55403
Phone Number
612-596-0099
Fax Number
763-475-4297
Provider Enumeration Date
10/27/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
302540 01 MN LICENSED ALCOHOL AND DRUG COUNSELOR
institution
Provider Business Practice Location Address Details
Address
1911 Pleasant Avenue South
City
State
Zip
55403
Phone Number
612-596-0099
Fax Number
763-475-4297
person
Provider Business Mailing Address Details
Address
1911 Pleasant Avenue South
City
State
Zip
55403
Phone Number
612-596-0099
Fax Number
763-475-4297
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
302540 (Minnesota)
Definition
Definition to come...
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