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

Mr. Clayton Thaddeus Rudolf Phillips, LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1093650988

Mr. Clayton Thaddeus Rudolf Phillips, LADC is an Addiction (Substance Use Disorder) Counselor in Saint Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2026.

Licensed in
MN
In the registry since
2026
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

680 Stewart Ave
Saint Paul, MN 55102-4117
Phone: (763) 957-7677
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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 306742 (MN)

Record details

NPI number1093650988
Entity typeIndividual (Type 1)
GenderMale
Credentials LADC
Sole proprietorNo
NPI enumeratedApril 20, 2026
Last updated in NPPESApril 20, 2026
Certification dateApril 20, 2026

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