Individual
ADDIE POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1246 UNIVERSITY AVE W, SAINT PAUL, MN 55104-4125
(651) 404-2000
Mailing address
1518 SCHEFFER AVE, SAINT PAUL, MN 55116-2263
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306351
MN
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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