Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Colleen Crystal Davern, LADCLPCC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1134766470

Colleen Crystal Davern, LADCLPCC is an Addiction (Substance Use Disorder) Counselor in Saint Cloud, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

2835 W Saint Germain St Ste 550
Saint Cloud, MN 56301-6389
Phone: (320) 251-7700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 1869 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 303967 (MN)
Mental Health Counselor Taxonomy 101YM0800X · Licence 1869 (MN)

Record details

NPI number1134766470
Entity typeIndividual (Type 1)
GenderFemale
Credentials LADCLPCC
Sole proprietorYes
NPI enumeratedDecember 5, 2019
Last updated in NPPESJune 7, 2024
Certification dateJune 7, 2024

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