Connor Welle
Counselor, Addiction (Substance Use Disorder) in Otsego, MN. Individual provider (NPI-1).
NPI number1164094728
StatusActive
Last updated in NPPESJul 13, 2021
Details
- NPI
- 1164094728
- Entity type
- Individual (NPI-1)
- Name
- Connor Welle
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2021
- Certification date
- Jul 13, 2021
- Last updated
- Jul 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
9245 Quantrelle Ave NeOtsego, MN 55330-0168
Phone 763-746-9492
Mailing address
9245 Quantrelle Ave NeOtsego, MN 55330-0168
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Other Addiction (Substance Use Disorder) Counselor providers in Otsego, MN
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- Evan BedoreNPI 1639821325
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- Penny GillenNPI 1225549520
- Kary J Gillenwaters, OTR/LNPI 1316954985
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All 25 Addiction (Substance Use Disorder) Counselor providers in Otsego · All 308 providers in Otsego
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