Avalon - Prospect Park
Avalon - Prospect Park is an Addiction (Substance Use Disorder) Counselor in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.
- Licensed in
- MN
- In the registry since
- 2007
Practice location Address checks out
2800 University Ave SE Ste 202Minneapolis, MN 55414-4205
Phone: (612) 326-7555
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 1016848 (MN) |
|---|
Record details
| NPI number | 1225242241 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Valerie Bundy — Controller · (612) 326-7555 |
| NPI enumerated | May 9, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 550 Main St, New Brighton, MN 55112-3271 |
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