Michael Aanes, LADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Baxter, MN
NPI 1629490651 · NPPES record last updated Jan 29, 2014
Key facts
- NPI
- 1629490651
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 302326 (MN)
- Practice address
- 13021 Evergreen Dr
Baxter, MN 56425-7439 - Phone
- (218) 829-9307
- Fax
- (218) 829-7649
- NPI assigned
- Jan 10, 2014
- 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 |
|---|---|---|---|
| 302326 | MN | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 302326 | MN | Yes |
Addresses
Primary practice location
13021 Evergreen Dr
Baxter, MN 56425-7439
Mailing address
1900 Silver Lake Rd NW
110
New Brighton, MN 55112-1786
Phone (651) 379-1718
Other providers in Baxter, MN
- Aaron Hokanson, D.C., P.a.
- Accucare Audiology & Hearing Solutions, LLC
- Lyssa Adams
- Adil Taha Dba Hannibal Transportation
- Dorraine Sue Adkins-Carlson
All providers in Baxter, 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 29, 2014. 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.