MATTHEW DANIEL WALFOORT BA LADC NPI 1508460148

NPI Information

NPI: 1508460148
Provider Name: MATTHEW DANIEL WALFOORT, BA , LADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1246 UNIVERSITY AVE W
SAINT PAUL, MN
ZIP 55104
Phone: (651) 204-0226
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Matthew Daniel Walfoort, BA , LADC is an addiction (substance use disorder) counselor in Saint Paul, MN. Matthew Daniel Walfoort, BA , LADC NPI is 1508460148. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1246 UNIVERSITY AVE W
SAINT PAUL, MN
ZIP 55104-125
Phone: (651) 204-0226
Fax: (651) 383-4537

The enumeration date for this NPI number is 11/24/2020 and was last updated on 11/24/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	304592	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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