Alice Ethel Nordlum, - Counselor in North Branch, MN

Alice Ethel Nordlum, is a Counselor - Addiction (substance Use Disorder) based in North Branch, Minnesota. Alice Ethel Nordlum is licensed to practice in Minnesota (license number 304361) and her current practice location is 5842 Old Main St Ste 2, North Branch, Minnesota. She can be reached at her office (for appointments etc.) via phone at (651) 401-3068.

NPI number for Alice Ethel Nordlum is 1891297024 and her current mailing address is 1175 N Ryan Lake Rd Ne, Isanti, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891297024.

Contact Information

Alice Ethel Nordlum,
5842 Old Main St Ste 2,
North Branch, MN 55056-6687
(651) 401-3068
(651) 674-2534

Map and Direction


Healthcare Provider's Profile

Full NameAlice Ethel Nordlum
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location5842 Old Main St Ste 2, North Branch, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1891297024
  • Provider Enumeration Date: 03/04/2018
  • Last Update Date: 03/04/2018

Medical Identifiers

Medical identifiers for Alice Ethel Nordlum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891297024NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 304361 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alice Ethel Nordlum is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Alice Ethel Nordlum,
1175 N Ryan Lake Rd Ne,
Isanti, MN 55040-6146

Ph: (763) 607-7284
Alice Ethel Nordlum,
5842 Old Main St Ste 2,
North Branch, MN 55056-6687

Ph: (651) 401-3068

Reviews and Comments


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