Kylie Renee Anne Mathieu, LADC - Counselor in Fridley, MN

Kylie Renee Anne Mathieu, LADC is a Counselor - Addiction (substance Use Disorder) based in Fridley, Minnesota. Kylie Renee Anne Mathieu is licensed to practice in Minnesota (license number 305548) and her current practice location is 520 Osborne Rd Ne, Fridley, Minnesota. She can be reached at her office (for appointments etc.) via phone at (763) 236-4105.

NPI number for Kylie Renee Anne Mathieu is 1023868213 and her current mailing address is 2925 Chicago Ave, Minneapolis, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023868213.

Contact Information

Kylie Renee Anne Mathieu, LADC
520 Osborne Rd Ne,
Fridley, MN 55432-2718
(763) 236-4105
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameKylie Renee Anne Mathieu
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location520 Osborne Rd Ne, Fridley, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023868213
  • Provider Enumeration Date: 03/22/2024
  • Last Update Date: 10/10/2024

Medical Identifiers

Medical identifiers for Kylie Renee Anne Mathieu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023868213NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 305548 (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. Kylie Renee Anne Mathieu 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
Kylie Renee Anne Mathieu, LADC
2925 Chicago Ave,
Minneapolis, MN 55407-1321

Ph: (612) 262-9000
Kylie Renee Anne Mathieu, LADC
520 Osborne Rd Ne,
Fridley, MN 55432-2718

Ph: (763) 236-4105

Reviews and Comments


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