Individual
ALICIA M SCHROEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, LADC
Contact information
Practice address
715 11TH ST N STE 204, MOORHEAD, MN 56560-2000
(218) 233-6398
(218) 236-6765
Mailing address
4227 9TH AVE SW, FARGO, ND 58103-2018
(701) 282-6561
(701) 277-0306
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1569
ND
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302261
MN
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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