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

Mr. Evan D Tharaldson, BALADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1720681984

Mr. Evan D Tharaldson, BALADC is an Addiction (Substance Use Disorder) Counselor in Saint Paul, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2020

Practice location Address checks out

1246 University Ave W
Saint Paul, MN 55104-4125
Phone: (651) 333-4368
Fax: (651) 666-2914
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 304577 (MN)

Record details

NPI number1720681984
Entity typeIndividual (Type 1)
GenderMale
Credentials BALADC
Sole proprietorYes
NPI enumeratedNovember 19, 2020
Last updated in NPPESNovember 19, 2020
Certification dateNovember 19, 2020

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