Individual
MS. CHANDA J PALACIOS-HADLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LADC
Contact information
Practice address
2211 CLINTON AVE, MINNEAPOLIS, MN 55404-3656
(612) 449-1144
(612) 871-0929
Mailing address
2211 CLINTON AVE, MINNEAPOLIS, MN 55404-3656
(612) 449-1144
(612) 871-0929
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303459
MN
101YM0800X
Mental Health Counselor
Primary
CC04417
MN
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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