Individual
ALEXIS NICOLE KLICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
823 MAPLE ST, BRAINERD, MN 56401-3770
(218) 454-8001
Mailing address
PO BOX 367, LITTLE FALLS, MN 56345-0367
(704) 796-8020
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
307045
MN
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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