Jay Philip Wistrom, LADC
Jay Philip Wistrom, LADC is an Addiction (Substance Use Disorder) Counselor in Saint Cloud, Minnesota. Licensed in Minnesota. Registered with an NPI since 2012.
- Licensed in
- MN
- In the registry since
- 2012
What do these letters mean?
- LADC — Licensed Alcohol and Drug Counselor
- A licensed addiction counsellor.
Practice location Address checks out
1321 13th St NSaint Cloud, MN 56303-2613
Phone: (320) 252-5010
Fax: (320) 203-1855
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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 303309 (MN) |
|---|
Record details
| NPI number | 1144587452 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LADC |
| Sole proprietor | No |
| NPI enumerated | April 12, 2012 |
| Last updated in NPPES | April 12, 2012 |
Other providers in Saint Cloud
-
Mrs. Jennifer Walker, LADC
1204 7th St S Ste 105, Saint Cloud, MN 56301-4285 · (320) 257-6020
-
Benedict A Walz, MSMDVMACLADCLMFT
3333 W Division St Midtown Sq Ste # 210, Saint Cloud, MN 56301-4515 · (320) 252-5781
-
William Leslie Weber-Brown, BS, BCC, LADC
227 10th Ave N, Saint Cloud, MN 56303-4637 · (320) 492-7609
-
Mr. Chad Stanley Weisser, LADC
1406 6th Ave N, Saint Cloud, MN 56303-1900 · (320) 229-4977
-
Jacqueline Mary Wruck, LADC
713 Anderson Ave, Saint Cloud, MN 56303-2048 · (320) 229-3760