Cynthia Lee Gudahl, LADC is a
Counselor - Addiction (substance Use Disorder) based in Littlefork, Minnesota. Cynthia Lee Gudahl is licensed to practice in Minnesota (license number 302425) and her current practice location is
912 Main St Unit B, Littlefork, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(218) 278-4607.
NPI number for Cynthia Lee Gudahl is 1295152171 and her current mailing address is 912 Main St Unit B, Littlefork, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295152171.
Healthcare Provider's Profile
Full Name | Cynthia Lee Gudahl |
---|
Gender | Female |
---|
Speciality | Counselor - Addiction (substance Use Disorder) |
---|
Location | 912 Main St Unit B, Littlefork, Minnesota |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295152171
- Provider Enumeration Date: 03/27/2014
- Last Update Date: 12/16/2016
Medical Identifiers
Medical identifiers for Cynthia Lee Gudahl such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295152171 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 302425 (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. Cynthia Lee Gudahl 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 Address | Practice Location Address |
Cynthia Lee Gudahl, LADC 912 Main St Unit B, Littlefork, MN 56653-9379 Ph: (218) 278-4607 | Cynthia Lee Gudahl, LADC 912 Main St Unit B, Littlefork, MN 56653-9379 Ph: (218) 278-4607 |
Reviews and Comments