| Loren E. Novak & Associates Inc | |
|
301 Fuller St S Shakopee MN 55379-1322 | |
| (952) 447-1117 | |
| (952) 447-1116 |
| Full Name | Loren E. Novak & Associates Inc |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 301 Fuller St S, Shakopee, Minnesota |
| Authorized Official Name and Position | William Milo Walberg (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9524471117 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Loren E. Novak & Associates Inc 14162 Commerce Ave Ne Suite 400 Prior Lake MN 55372-1480 Ph: (952) 447-1117 | Loren E. Novak & Associates Inc 301 Fuller St S Shakopee MN 55379-1322 Ph: (952) 447-1117 |
| NPI Number | 1609146364 |
|---|---|
| Provider Enumeration Date | 01/11/2012 |
| Last Update Date | 01/11/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609146364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1062184 (Minnesota) | Primary |
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