MRS. AMANDA MARIE SIMONSON LADC NPI 1760771034

NPI Information

  • NPI: 1760771034
  • Provider Name: MRS. AMANDA MARIE SIMONSON, LADC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 38873 14TH AVE
    NORTH BRANCH, MN
    ZIP 55056
  • Phone: (651) 401-3068

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NPI Details

MRS. Amanda Marie Simonson, LADC is an addiction (substance use disorder) counselor in North Branch, MN. MRS. Amanda Marie Simonson, LADC NPI is 1760771034. 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:

38873 14TH AVE
NORTH BRANCH, MN
ZIP 55056-079
Phone: (651) 401-3068
Fax: (651) 674-2534

The enumeration date for this NPI number is 4/7/2011 and was last updated on 9/13/2016.

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)303037MINNESOTAYes

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

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