person
Edward Evan Weibye, LADC
Addiction (Substance Use Disorder) Counselor in Minneapolis, Minnesota
NPI 1972120434

Edward Evan Weibye is an Addiction (Substance Use Disorder) Counselor based in Minneapolis, MN and is specialized in Addiction (Substance Use Disorder). Edward Evan Weibye practices in Minneapolis, MN and has the professional credentials of LADC. The NPI Number for Edward Evan Weibye is 1972120434 and holds a License No. 305637 (Minnesota).

The current practice location address for Edward Evan Weibye is 525 Portland Ave, Minneapolis, MN and can be reached out via phone at 612-267-5784 and via fax at 612-329-4320.

Location: 525 Portland Ave, Minneapolis, MN, 55415-1533
person
Provider Profile Details
NPI Number
1972120434
Provider Name
Edward Evan Weibye
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
525 Portland Ave, Minneapolis, MN, 55415-1533
Phone Number
612-267-5784
Fax Number
612-329-4320
Provider Enumeration Date
07/01/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
305637 01 MN BBHT (BOARD OF BEHAVIORAL HEALTH AND THERAPY
institution
Provider Business Practice Location Address Details
Address
525 Portland Ave
City
State
Zip
55415-1533
Phone Number
612-267-5784
Fax Number
612-329-4320
person
Provider Business Mailing Address Details
Address
525 Portland Ave
City
State
Zip
55415-1533
Phone Number
612-267-5784
Fax Number
612-329-4320
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
305637 (Minnesota)
Definition
Definition to come...
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