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Terry Sylvester Mader, LADC
Addiction (Substance Use Disorder) Counselor in Alexandria, Minnesota
NPI 1912158338

Terry Sylvester Mader is an Addiction (Substance Use Disorder) Counselor based in Alexandria, MN and is specialized in Addiction (Substance Use Disorder). Terry Sylvester Mader practices in Alexandria, MN and has the professional credentials of LADC. The NPI Number for Terry Sylvester Mader is 1912158338 and holds a License No. 301762 (Minnesota).

The current practice location address for Terry Sylvester Mader is 222 9Th Ave W, Alexandria, MN and can be reached out via phone at 320-763-3912 and via fax at 320-763-6629.

Location: 222 9Th Ave W, Alexandria, MN, 56308-2221
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912158338
Provider Name
Terry Sylvester Mader
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
222 9Th Ave W, Alexandria, MN, 56308-2221
Phone Number
320-763-3912
Fax Number
320-763-6629
Provider Enumeration Date
10/03/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
222 9Th Ave W
City
Alexandria
State
Minnesota
Zip
56308-2221
Phone Number
320-763-3912
Fax Number
320-763-6629
person
Provider Business Mailing Address Details
Address
222 9Th Ave W
City
Alexandria
State
Minnesota
Zip
56308-2221
Phone Number
320-763-3912
Fax Number
320-763-6629
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
301762 (Minnesota)
Definition
Definition to come...
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