ALICE ETHEL NORDLUM
NPI 1891297024
Counselor - Addiction (Substance Use Disorder) in North Branch, MN

Active since March 04, 2018
5842 OLD MAIN ST STE 2, NORTH BRANCH, MN 55056(651) 401-3068(651) 674-2534 Get Directions Write a Review

NPPES record last updated: March 4, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alice Ethel Nordlum NPPES

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

ALICE ETHEL NORDLUM (NPI 1891297024) is an individual addiction (substance use disorder) provider in North Branch, Minnesota, licensed in Minnesota (304361) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1891297024
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameALICE ETHEL NORDLUM
Location Address5842 OLD MAIN ST STE 2North Branch, MN 55056-6687
Mailing Address1175 N Ryan Lake Rd NeIsanti, MN 55040-6146 · (763) 607-7284
Fax(651) 674-2534
Sole ProprietorNo
Enumeration DateMarch 4, 2018
NPI 1891297024 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 · 304361
5842 OLD MAIN ST STE 2, North Branch, MN 55056

Other Providers at the Same Location NPPES 3

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

Counselor (Addiction (Substance Use Disorder))
5842 OLD MAIN ST STE 2
NORTH BRANCH, MN 55056
Marriage & Family Therapist
5842 OLD MAIN ST STE 2
NORTH BRANCH, MN 55056
Psychologist
5842 OLD MAIN ST STE 2
NORTH BRANCH, MN 55056

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 Alice Nordlum's NPI number?

The NPI number for Alice Nordlum is 1891297024. It was assigned to this individual provider in the NPPES registry on March 4, 2018.

Where is Alice Nordlum located?

Alice Nordlum practices at 5842 Old Main St Ste 2, North Branch, MN 55056. The listed phone number is (651) 401-3068.

What is Alice Nordlum's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Alice Nordlum was last updated on March 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.