JOANNE CAROL DETWILER L.A.D.C. NPI 1336381425

NPI Information

NPI: 1336381425
Provider Name: JOANNE CAROL DETWILER, L.A.D.C.
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
722 15TH ST NW
BEMIDJI, MN
ZIP 56601
Phone: (218) 751-3280
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Joanne Carol Detwiler, L.A.D.C. is an addiction (substance use disorder) counselor in Bemidji, MN. Joanne Carol Detwiler, L.A.D.C. NPI is 1336381425. 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:

722 15TH ST NW
BEMIDJI, MN
ZIP 56601-528
Phone: (218) 751-3280
Fax: (218) 751-3298

The enumeration date for this NPI number is 4/3/2009 and was last updated on 4/3/2009.

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)	300667	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: 5/5/2024

NPI Synchronization or Removal

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