| Pa Xiong Nodalo, LPCC, LADC | |
|
1250 Moore Lake Dr E Ste 152, Fridley, MN 55432-5135 | |
| (612) 389-2332 | |
| (612) 389-2338 |
| Full Name | Pa Xiong Nodalo |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1250 Moore Lake Dr E Ste 152, Fridley, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922554948 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 304280 (Minnesota) | Secondary |
| 101YP2500X | Counselor - Professional | 5183 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Pa Xiong Nodalo, LPCC, LADC 1250 Moore Lake Dr E Ste 152, Fridley, MN 55432-5135 Ph: (612) 389-2332 | Pa Xiong Nodalo, LPCC, LADC 1250 Moore Lake Dr E Ste 152, Fridley, MN 55432-5135 Ph: (612) 389-2332 |
Mohamed Hassan Ahmed, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6599 Channel Rd Ne, Fridley, MN 55432 Phone: 763-318-4122 | |
Marcie L Stresemann, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7260 University Ave Ne, Suite 235, Fridley, MN 55432 Phone: 763-572-2605 Fax: 763-572-2606 | |
Kylie Renee Anne Mathieu, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 Osborne Rd Ne, Fridley, MN 55432 Phone: 763-236-4105 | |
Matthew John Fritscher, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 7260 University Ave Ne, Suite 235, Fridley, MN 55432 Phone: 763-572-2605 Fax: 763-572-2606 | |
David Alan Wood, MA LPCC Counselor Medicare: Medicare Enrolled Practice Location: 7260 University Ave Ne Ste 235, Fridley, MN 55432 Phone: 763-572-2612 | |
Mr. Anthony Warren Hunniutt, LSW LAOC LICENSED SO Counselor Medicare: Not Enrolled in Medicare Practice Location: 7590 Lyric Lane Ne, Fridley, MN 55432 Phone: 763-236-4509 Fax: 763-236-4370 | |
Suzanne L Sater, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6341 Monroe St Ne, Fridley, MN 55432 Phone: 763-226-1288 |