MELISSA ANN POEHLER LADC NPI 1932614518

NPI Information

NPI: 1932614518
Provider Name: MELISSA ANN POEHLER, LADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
410 MARTIN AVE
BIG LAKE, MN
ZIP 55309
Phone: (763) 607-6344
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Melissa Ann Poehler, LADC is an addiction (substance use disorder) counselor in Big Lake, MN. Melissa Ann Poehler, LADC NPI is 1932614518. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

410 MARTIN AVE
BIG LAKE, MN
ZIP 55309-004
Phone: (763) 607-6344

The enumeration date for this NPI number is 12/5/2017 and was last updated on 12/5/2017.

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)	302424	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	302424	OTHER	MINNESOTA	MN BOARD OF BEHAVIORAL HEALTH LICENSE

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: 5/5/2024

NPI Synchronization or Removal

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