AMANDA ROSE DEGREE LADC
NPI 1356773386
Counselor - Addiction (Substance Use Disorder) in Woodbury, MN
Active since August 01, 2013
1811 WEIR DR, SUITE 270, WOODBURY, MN 55125(651) 714-9646(651) 714-9647 Get Directions Write a Review
About Amanda Rose Degree Ladc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA ROSE DEGREE LADC (NPI 1356773386) is an individual addiction (substance use disorder) provider in Woodbury, Minnesota, licensed in Minnesota (303285) and active in the NPI registry since August 2013.
NPPES Registry Identity
NPI1356773386
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameAMANDA ROSE DEGREECredential: LADC
Location Address1811 WEIR DR, SUITE 270Woodbury, MN 55125-2272
Mailing Address1900 Silver Lake Rd Nw, Suite 110New Brighton, MN 55112-1786 · (651) 628-9566 · Fax (651) 628-0411
Phone(651) 714-9646
Fax(651) 714-9647
Sole ProprietorNo
Enumeration DateAugust 1, 2013
✔ NPI 1356773386 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 · 303285
1811 WEIR DR, Woodbury, MN 55125
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Psychologist (Clinical)
1811 WEIR DR, STE 355, MAIL STOP 13701A
WOODBURY, MN 55125
WOODBURY, MN 55125
Counselor (Addiction (Substance Use Disorder))
1811 WEIR DR
WOODBURY, MN 55125
WOODBURY, MN 55125
Clinical Neuropsychologist
1811 WEIR DR, SUITE 270
WOODBURY, MN 55125
WOODBURY, MN 55125
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356773386, enumerated as an "individual" on August 01, 2013.
The provider is located at 1811 WEIR DR SUITE 270 WOODBURY, MN 55125 and the phone number is (651) 714-9646.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).