Individual
MR. CHAD STANLEY WEISSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(320) 229-4977
(320) 229-5199
Mailing address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
(320) 229-4977
(320) 229-5199
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305204
MN
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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