Mark Bigaouette, LADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Marshall, MN
NPI 1336704451 · NPPES record last updated May 3, 2019
Key facts
- NPI
- 1336704451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 300783 (MN)
- Practice address
- 1212 E College Dr
Marshall, MN 56258-2010 - Phone
- (507) 532-3236
- NPI assigned
- May 3, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 300783 | MN | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 300783 | MN | Yes |
Addresses
Primary practice location
1212 E College Dr
Marshall, MN 56258-2010
Mailing address
1212 E College Dr
Marshall, MN 56258-2010
Other providers in Marshall, MN
- Tami J Behnke
- Megan Benedict
- Emma B Bengtson
- Amanda F Beranek
- Hannah Bevers
- Patrick Masiasia Birisi
- Nancy J Blanchard
- Christina Blomme
- Courtney June Blomme
- Kristin R Blomme
All providers in Marshall, 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 May 3, 2019. 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.