Carole (Nickey) Galush Larson in Edina - Addiction (substance Use Disorder)
Carole (Nickey) Galush Larson - NPI 1538202890
Carole (Nickey) Galush Larson is a Addiction (substance Use Disorder) in Edina, Minnesota. Carole (Nickey) Galush Larson practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Carole (Nickey) Galush Larson is 1538202890. The last update date is 2015-11-02.
Carole (Nickey) Galush Larson's current location address is 7400 Metro Blvd, Edina, Minnesota. You can contact this provider via phone number 9529298432 and fax number 9529298432. The mailing address for Carole (Nickey) Galush Larson is 7400 Metro Blvd, Edina, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carole (Nickey) Galush Larson |
|---|---|
| Address | 7400 Metro Blvd, Edina, Minnesota |
| Phone Number | 9529298432 |
| Fax Number | 9529298432 |
| Sole Proprietor | Y |
| Credentials | PSYD LP L |
NPI Number Detail
| NPI Number | 1538202890 |
|---|---|
| Provider Enumeration Date | 2007-02-15 |
| Last Updated Date | 2015-11-02 |
Provider Mailing Address Detail
| Address | 7400 Metro Blvd |
|---|---|
| City | Edina |
| State | Minnesota (MN) |
| Post Code | 554392316 |
| Phone Number | 9529298432 |
| Fax Number | 9529298432 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 300756 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 122275 | HEALTH PARTNERS FINANCIAL | ||
| 46715LA | BCBS INDIVIDUAL | ||
| 563350800 | MN | -- | |
| 46714LA | BCBS GROUP |
Post Comment/ Review Below
What is the Carole (Nickey) Galush Larson's 1538202890?
The Carole (Nickey) Galush Larson's NPI (National Provider Identifier) Number is 1538202890. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Carole (Nickey) Galush Larson is geographically located?
The Carole (Nickey) Galush Larson is physically situated at the following location: 7400 Metro Blvd, Edina, MN, 554392316.
What is the Carole (Nickey) Galush Larson's area of specialization and corresponding taxonomy classification?
The Carole (Nickey) Galush Larson's specialty field is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their specialties.
When did the Carole (Nickey) Galush Larson receive its 1538202890?
The Carole (Nickey) Galush Larson was issued its 1538202890 on 2007-02-15, which is the date when the organization was assigned this unique identifier.
When was the information regarding Carole (Nickey) Galush Larson most recently updated?
The details pertaining to the Carole (Nickey) Galush Larson, including its address, specialty, and other relevant information, were last refreshed on 2015-11-02.
NPI Number: 1902809924
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