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MRS. RITA MARIE CANNONWOLF B.A, T-ADC
NPI 1093928459
Substance Abuse Rehabilitation Facility in Alexandria, MN

Active since May 08, 2007
222 9TH AVE W, ALEXANDRIA, MN 56308(320) 763-3912(320) 763-6629 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Rita Marie Cannonwolf B.a, T-adc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. RITA MARIE CANNONWOLF B.A, T-ADC (NPI 1093928459) is an individual substance abuse rehabilitation facility provider in Alexandria, Minnesota and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1093928459
Entity TypeIndividualFemale
Primary Taxonomy324500000X
Provider Legal NameMRS. RITA MARIE CANNONWOLFCredential: B.A, T-ADC
Location Address222 9TH AVE WAlexandria, MN 56308-2221
Mailing Address222 9th Ave WAlexandria, MN 56308-2221 · (320) 763-3912 · Fax (320) 763-6629
Phone(320) 763-3912
Fax(320) 763-6629
Sole ProprietorYes
Enumeration DateMay 8, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1093928459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
222 9TH AVE W, Alexandria, MN 56308
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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHERYL ANN LEWIS LADC
Counselor (Addiction (Substance Use Disorder))
222 9TH AVE W
ALEXANDRIA, MN 56308
Douglas County (320) 491-8036
MR. DAVID HEDDEN PETERSON LICSW
Social Worker (Clinical)
222 9TH AVE W
ALEXANDRIA, MN 56308
Douglas County (320) 763-3912
JULIE ANN HOOK
Licensed Practical Nurse
222 9TH AVE W
ALEXANDRIA, MN 56308
Douglas County (320) 763-3912
KIMBERLY WILKINS LADC
Counselor (Addiction (Substance Use Disorder))
222 9TH AVE W
ALEXANDRIA, MN 56308
Douglas County (320) 763-3912
JAMES MONSON LADC
Counselor (Addiction (Substance Use Disorder))
222 9TH AVE W
ALEXANDRIA, MN 56308
Douglas County (320) 763-3912
NEW VISIONS CENTER
Substance Abuse Rehabilitation Facility
222 9TH AVE W
ALEXANDRIA, MN 56308
Douglas County (320) 763-3912
DOUG PAULSON LADC
Counselor (Addiction (Substance Use Disorder))
222 9TH AVE W
ALEXANDRIA, MN 56308
Douglas County (320) 763-3912
KANDICE LARAY GORRES LADC
Counselor (Addiction (Substance Use Disorder))
222 9TH AVE W
ALEXANDRIA, MN 56308
Douglas County (320) 763-3912

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rita Cannonwolf's NPI number?

The NPI number for Rita Cannonwolf is 1093928459. It was assigned to this individual provider in the NPPES registry on May 8, 2007.

Where is Rita Cannonwolf located?

Rita Cannonwolf practices at 222 9th Ave W, Alexandria, MN 56308. The listed phone number is (320) 763-3912.

What is Rita Cannonwolf's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Rita Cannonwolf was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.