Jon M Holthusen, LADC Valid NPI

Individual provider · Addiction (Substance Use Disorder) Counselor · Saint Cloud, MN

NPI

1972065928

Type

Individual (Type 1)

Primary specialty

Addiction (Substance Use Disorder) Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YA0400X

Sex

Male

Sole proprietor

No

Enumerated

2019-04-01

Last updated

2019-04-01