Erin Nichole Hedstrom, LADC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · South St Paul, MN
NPI 1649865270 · NPPES record last updated Mar 5, 2021
Key facts
- NPI
- 1649865270
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 305660 (MN)
- Practice address
- 444 12TH Ave N
South St Paul, MN 55075-1914 - Phone
- (651) 917-6248
- NPI assigned
- Mar 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 305660 | MN | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 305660 | MN | Yes |
Addresses
Primary practice location
444 12TH Ave N
South St Paul, MN 55075-1914
Mailing address
8761 Inverness Rd
Woodbury, MN 55125-9393
Phone (651) 373-3744
Other providers in South St Paul, MN
- Bridget Ann Forbrook
- Frazier Recovery Services
- Emiliano Granados
- Solveig A Hansen
- Health 1St Chiropractic and Wellness Center, P.C.
- Linda F. Hernandez
- Chrissie Jo Holzer-Magness
- Housing & Redevelopment Authority of the City of South St. Paul
- Nasrin Islam
- Lori Johnson
All providers in South St Paul, 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 Mar 5, 2021. 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.