NPI 1003389669

James Patrick McEnroe, LADC

Practitioner Addiction (Substance Use Disorder) Counselor Minnetonka, MN

Practice location

Address: 11900 Wayzata Blvd STE 100, Minnetonka, MN 55305-2018
Phone: (612) 454-2412
Fax: (952) 546-1683

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 304070 (MN)

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Registry record

NPI: 1003389669
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Jan 2019
Record last updated: 7 Jan 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.