Individual
ALICIA MARIE MCNIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
6600 FRANCE AVE S STE 245, EDINA, MN 55435-1820
(612) 210-9103
Mailing address
6600 FRANCE AVE S STE 245, EDINA, MN 55435-1820
(612) 210-9103
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304416
MN
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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