Individual
ALEX MAURER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW, LADC
Contact information
Practice address
109 WASHBURNE AVE, PAYNESVILLE, MN 56362-1640
(320) 243-1599
(320) 243-1570
Mailing address
125 W 6TH ST, LITCHFIELD, MN 55355-1706
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305581
MN
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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