Individual
ALLEN BRUCE ALVIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.A.D.C.
Contact information
Practice address
102 MILLER ST, NEW YORK MILLS, MN 56567-4333
(218) 385-2991
(218) 385-2992
Mailing address
102 MILLER ST, P.O. BOX 219, NEW YORK MILLS, MN 56567-4333
(218) 385-2991
(218) 385-2992
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301295
MN
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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