Individual
NANCY CAOUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1101 E 78TH ST, BLOOMINGTON, MN 55420-1400
(952) 234-6860
(952) 854-5363
Mailing address
1101 E 78TH ST, BLOOMINGTON, MN 55420-1400
(952) 234-6860
(952) 854-5363
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2056
MN
Other
Enumeration date
12/13/2017
Last updated
07/29/2021
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