Individual
CAROLYN BLOTNICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
3701 12TH ST N, SUITE 203, SAINT CLOUD, MN 56303-2255
(320) 253-3512
(320) 253-1037
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 379-1764
(651) 379-1738
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MN
Other
Enumeration date
01/24/2017
Last updated
11/07/2025
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