Alexandra Blonigen, BA, LADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Princeton, MN
NPI 1063929677 · NPPES record last updated Jan 4, 2018
Key facts
- NPI
- 1063929677
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 304562 (MN)
- Practice address
- 105 6TH Ave S
Princeton, MN 55371-1819 - Phone
- (763) 308-0006
- Fax
- (763) 631-0339
- NPI assigned
- Jan 4, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 304562 | MN | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C & C Consulting Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 304562 | MN | Yes |
Addresses
Primary practice location
105 6TH Ave S
Princeton, MN 55371-1819
Mailing address
23137 Tamarack St NW
Saint Francis, MN 55070-9625
Phone (612) 388-9129
Other providers in Princeton, MN
- Cierra Beckerleg
- Mary C. Berry
- Better Mental Health, PC
- Thomas J Blankenship
- Renna Kay Blavat
- Kim Boedigheimer
- Dane Bonath
- Lisa Lynn Bovy
- Eric Timothy Brandt
- Anthony Charles Braunreiter
All providers in Princeton, MN · Addiction (Substance Use Disorder) Counselor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.