Theodore J. Pierzina, MN-LADC
Counselor, Addiction (Substance Use Disorder) in La Crescent, MN. Individual provider (NPI-1).
NPI number1154401461
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1154401461
- Entity type
- Individual (NPI-1)
- Name
- Mr. Theodore J. Pierzina
- Credential
- MN-LADC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 17, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 1016047-1-CDT | MN | Yes |
Practice location
33 S Walnut St Ste 100La Crescent, MN 55947-1319
Phone 507-895-6666 · Fax 507-895-6667
Mailing address
33 S Walnut St Ste 100La Crescent, MN 55947-1319
Phone 507-895-6666 · Fax 507-895-6667
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