HAVEN CHEMICAL HEALTH NPI 1205439569

NPI Information

NPI: 1205439569
Provider Name: HAVEN CHEMICAL HEALTH
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
950 9TH AVE
ST PAUL PARK, MN
ZIP 55071
Phone: (651) 734-9633
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HAVEN CHEMICAL HEALTH is an addiction (substance use disorder) counselor in St Paul Park, MN. HAVEN CHEMICAL HEALTH NPI is 1205439569. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

950 9TH AVE
ST PAUL PARK, MN
ZIP 55071-436
Phone: (651) 734-9633
Fax: (651) 734-9533

The provider's authorized official is Jennifer Lynn Frazerjohn .
The authorized official title is Administrator and has the following contact phone number (651) 734-9633.

The enumeration date for this NPI number is 11/19/2020 and was last updated on 11/19/2020.

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)			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: 5/5/2024

NPI Synchronization or Removal

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