Individual
CHADWICK TREVOR WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
2200 1ST AVE S, MINNEAPOLIS, MN 55404-3401
(612) 286-0855
Mailing address
4772 PRESERVE CT N, HUGO, MN 55038-2202
(612) 718-8698
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302757
MN
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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