| Avalon - Dakota Cty Corrections | |
|
1580 Highway 55 Hastings MN 55033-2343 | |
| (612) 326-7555 | |
| Not Available |
| Full Name | Avalon - Dakota Cty Corrections |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1580 Highway 55, Hastings, Minnesota |
| Authorized Official Name and Position | Valerie Bundy (CONTROLLER) |
| Authorized Official Contact | 6123267555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avalon - Dakota Cty Corrections 550 Main St Ste 230 New Brighton MN 55112-3271 Ph: (612) 326-7555 | Avalon - Dakota Cty Corrections 1580 Highway 55 Hastings MN 55033-2343 Ph: (612) 326-7555 |
| NPI Number | 1134253529 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134253529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 830538 (Minnesota) | Primary |
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