| Mr Kenneth Neil Mcdonnell Jr, LADC | |
|
413 Commercial Ave N, Sandstone, MN 55072-4412 | |
| (320) 245-9966 | |
| (651) 408-7131 |
| Full Name | Mr Kenneth Neil Mcdonnell Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 413 Commercial Ave N, Sandstone, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700188216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 301667 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kenneth Neil Mcdonnell Jr, LADC 413 Commercial Ave N, Sandstone, MN 55072-4412 Ph: (320) 245-9966 | Mr Kenneth Neil Mcdonnell Jr, LADC 413 Commercial Ave N, Sandstone, MN 55072-4412 Ph: (320) 245-9966 |
Julie Lois Bjerke, Counselor Medicare: Not Enrolled in Medicare Practice Location: 413 Commercial Ave N, Sandstone, MN 55072 Phone: 320-245-9966 | |
Mrs. Jacqueline R Warman, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 413 Commercial Ave N, Sandstone, MN 55072 Phone: 320-245-9966 | |
Kasey L Wilson, ADC-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 413 Commercial Ave N, Sandstone, MN 55072 Phone: 320-245-9966 |