NICHOLAS THELEN

ROSEVILLE, MN
NPI1609381557
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  303546)
Enumeration Date2017-12-13
Last Update Date2017-12-13
Business Address
NICHOLAS THELEN MA LADC
2311 WOODBRIDGE ST
ROSEVILLE, MN 55113-4710
Phone number: 651-773-0832
Mailing Address
NICHOLAS THELEN MA LADC
2311 WOODBRIDGE ST
ROSEVILLE, MN 55113-4710
Phone number:
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