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

Shelby Edevold

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1609498666

Shelby Edevold is an Addiction (Substance Use Disorder) Counselor in Coon Rapids, Minnesota. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

11660 Round Lake Blvd NW
Coon Rapids, MN 55433-2638
Phone: (763) 767-3350
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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

Record details

NPI number1609498666
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 13, 2020
Last updated in NPPESMay 13, 2020
Certification dateMay 13, 2020
Mailing address11660 Round Lake Blvd Nw, Coon Rapids, MN 55433-2638

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