MS. LORI MARIE CARGEN BECKWITH LADC
NPI 1033436167
Counselor - Addiction (Substance Use Disorder) in Stillwater, MN
Active since April 29, 2010
11400 JULIANNE AVE N, STILLWATER, MN 55082(612) 454-2406(651) 426-0419 Get Directions Write a Review
About Ms. Lori Marie Cargen Beckwith Ladc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. LORI MARIE CARGEN BECKWITH LADC (NPI 1033436167) is an individual addiction (substance use disorder) provider in Stillwater, Minnesota, licensed in Minnesota (302856) and active in the NPI registry since April 2010.
NPPES Registry Identity
NPI1033436167
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. LORI MARIE CARGEN BECKWITHCredential: LADC
Location Address11400 JULIANNE AVE NStillwater, MN 55082-9436
Mailing Address11400 Julianne Ave NStillwater, MN 55082-9436 · (612) 454-2406 · Fax (651) 426-0419
Phone(612) 454-2406
Fax(651) 426-0419
Sole ProprietorNo
Enumeration DateApril 29, 2010
Last NPPES UpdateJuly 22, 2014
✔ NPI 1033436167 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MN · 302856
11400 JULIANNE AVE N, Stillwater, MN 55082
Other Names 1
Former Name (1)Ms. Lori M. Cargen Ladc
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
11400 JULIANNE AVE N
STILLWATER, MN 55082
STILLWATER, MN 55082
Counselor (Addiction (Substance Use Disorder))
11400 JULIANNE AVE N
STILLWATER, MN 55082
STILLWATER, MN 55082
Counselor (Addiction (Substance Use Disorder))
11400 JULIANNE AVE N
STILLWATER, MN 55082
STILLWATER, MN 55082
Counselor (Addiction (Substance Use Disorder))
11400 JULIANNE AVE N
STILLWATER, MN 55082
STILLWATER, MN 55082
Counselor (Addiction (Substance Use Disorder))
11400 JULIANNE AVE N
STILLWATER, MN 55082
STILLWATER, MN 55082
Counselor (Addiction (Substance Use Disorder))
11400 JULIANNE AVE N
STILLWATER, MN 55082
STILLWATER, MN 55082
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033436167, enumerated as an "individual" on April 29, 2010.
The provider is located at 11400 JULIANNE AVE N STILLWATER, MN 55082 and the phone number is (612) 454-2406.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
