Individual
ALEXANDER C MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LGSW, LADC
Contact information
Practice address
1200 S POKEGAMA AVE STE 160, GRAND RAPIDS, MN 55744-4296
(218) 999-0051
(218) 999-7020
Mailing address
520 NW 1ST AVE # 5, GRAND RAPIDS, MN 55744-2619
(121) 830-2446
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303335
MN
104100000X
Social Worker
Primary
23421
MN
Other
Enumeration date
11/15/2016
Last updated
04/25/2019
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