NPI 1194297390

Kathy Clark Dansberry, LADC

Practitioner Addiction (Substance Use Disorder) Counselor New Hope, MN

Practice location

Address: 2738 Winnetka Ave N # 150m2, New Hope, MN 55427-2850
Phone: (763) 762-8728
Fax: (763) 762-8762
Mailing address: 4425 Rhode Island Ave N APT 324, New Hope, MN 55428-4942

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 300889 (MN)

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Registry record

NPI: 1194297390
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Dec 2018
Record last updated: 11 Mar 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.