Individual
NICHOLAS ALLYN KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.A.D.C.
Contact information
Practice address
1125 6TH ST SE, WILLMAR, MN 56201-4675
(320) 235-4613
Mailing address
1125 6TH ST SE, WILLMAR, MN 56201-4675
(320) 235-4613
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302932
MN
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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