MARIANNE BERNADETTE THIRY LADC NPI 1063705929

NPI Information

  • NPI: 1063705929
  • Provider Name: MARIANNE BERNADETTE THIRY, LADC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 17305 MEADOW CREEK LANE
    PINE CITY, MN
    ZIP 55063
  • Phone: (763) 444-4878

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NPI Details

Marianne Bernadette Thiry, LADC is an addiction (substance use disorder) counselor in Pine City, MN. Marianne Bernadette Thiry, LADC NPI is 1063705929. 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:

17305 MEADOW CREEK LANE
PINE CITY, MN
ZIP 55063
Phone: (763) 444-4878

The enumeration date for this NPI number is 5/25/2011 and was last updated on 5/25/2011.

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)301772MINNESOTAYes

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: 3/30/2025

NPI Synchronization or Removal

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