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

Mrs. Rita Marie Cannonwolf, BA, T-ADC

Individual provider Substance Abuse Rehabilitation Facility · NPI 1093928459

Mrs. Rita Marie Cannonwolf, BA, T-ADC is a Substance Abuse Rehabilitation Facility in Alexandria, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2007
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

222 9th Ave W
Alexandria, MN 56308-2221
Phone: (320) 763-3912
Fax: (320) 763-6629
Show map & directions

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

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X (MN)

Record details

NPI number1093928459
Entity typeIndividual (Type 1)
GenderFemale
Credentials BA , T-ADC
Sole proprietorYes
NPI enumeratedMay 8, 2007
Last updated in NPPESJuly 8, 2007

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