Individual
CHRIS HIRDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1404 CENTRAL AVE NE, MINNEAPOLIS, MN 55413-1517
(612) 286-0946
(612) 789-8087
Mailing address
1404 CENTRAL AVE NE, MINNEAPOLIS, MN 55413-1517
(612) 286-0946
(612) 789-8087
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302659
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123
—
MN
Enumeration date
09/28/2020
Last updated
09/28/2020
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