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Individual

JOHN MARK ADIX

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
407 WASHINGTON ST, MONTICELLO, MN 55362-8815
(763) 295-4001
(763) 295-5086
Mailing address
1321 13TH ST N, SAINT CLOUD, MN 56303-2613
(320) 252-5010
(320) 203-1855

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
12/13/2007
Last updated
12/13/2007
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