Individual
ROY HADDAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC, LADC
Contact information
Practice address
8120 PENN AVE S STE 500U, BLOOMINGTON, MN 55431-1367
(952) 245-0369
(952) 516-5282
Mailing address
8120 PENN AVE S STE 500U, BLOOMINGTON, MN 55431-1367
(952) 245-0369
(952) 516-5282
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000
—
MN
Enumeration date
08/26/2020
Last updated
07/19/2023
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