Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Michael William Mahoney, LADC, NCAC1

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1659799500

Mr. Michael William Mahoney, LADC, NCAC1 is an Addiction (Substance Use Disorder) Counselor in Rochester, Minnesota. Licensed in Minnesota. Registered with an NPI since 2014.

Licensed in
MN
In the registry since
2014
What do these letters mean?
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

1530 Assisi Dr NW
Rochester, MN 55901-1637
Phone: (507) 218-3450
Fax: (855) 856-5734
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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 301050 (MN)

Record details

NPI number1659799500
Entity typeIndividual (Type 1)
GenderMale
Credentials LADC , NCAC1
Sole proprietorNo
NPI enumeratedMarch 28, 2014
Last updated in NPPESMarch 28, 2014

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