Leech Lake Outpatient Treatment Program
Leech Lake Outpatient Treatment Program is an Addiction (Substance Use Disorder) Counselor in Cass Lake, Minnesota. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
6095 161st Ave NWCass Lake, MN 56633-3428
Phone: (218) 335-8308
Fax: (218) 335-8307
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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 |
|---|
Record details
| NPI number | 1275701666 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Leech Lake Band of Ojibwe |
| Authorized official | Gloria Mellado — A & D Program Director · (218) 335-3567 |
| NPI enumerated | February 19, 2008 |
| Last updated in NPPES | July 18, 2008 |
| Mailing address | 6905 161st St. Nw, Cass Lake, MN 56633-3428 |
Other providers in Cass Lake
-
Mrs. Amy Jo Anderly-Dotson, LADC, LICSW
190 Sailstar Dr NW, Cass Lake, MN 56633 · (218) 335-3050
-
Miss. Tamra Rae Devault
409 3rd St NE Ste B, Cass Lake, MN 56633 · (218) 335-3567
-
Robert Leon Fairbanks, ALCOHOLDRUGCOUNS
409 3rd St NE Ste A, Cass Lake, MN 56633 · (218) 335-4514
-
Robert Jaspers, ADC-1
6905 161st St NW, Cass Lake, MN 56633 · (218) 335-8308
-
Leech Lake Women's Services
113 Balsom Ave NW, Cass Lake, MN 56633 · (218) 335-3560
-
Spencer E Shotley, LADC, CADCIII
115 6th St NW, Cass Lake, MN 56633 · (218) 760-9257
-
Judy Ann Tholen, MS, LADC, LPCC
16123 Grant Utley Ave, Cass Lake, MN 56633 · (218) 335-3050