CALLUM DOUCETTE LADC NPI 1043170483

NPI Information

  • NPI: 1043170483
  • Provider Name: CALLUM DOUCETTE, LADC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 124 TYLER RD S
    RED WING, MN
    ZIP 55066
  • Phone: (651) 977-5001

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NPI Details

Callum Doucette, LADC is an addiction (substance use disorder) counselor in Red Wing, MN. Callum Doucette, LADC NPI is 1043170483. 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:

124 TYLER RD S
RED WING, MN
ZIP 55066-733
Phone: (651) 977-5001

The enumeration date for this NPI number is 11/17/2025 and was last updated on 11/17/2025.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)307349MINNESOTAYes

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: 11/21/2025

NPI Synchronization or Removal

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