Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 305091 | MN |
N | 101YP1600X | Pastoral Counselor | ||
Y | 1041C0700X | Clinical Social Worker | 19830 | MN |
NPI | 1275866253 |
---|---|
Provider Name | Dr. Ross Allen Aalgaard |
First Address | Mankato, MN 56002-0253 |
Second Address | Mankato, MN 56001-3887 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2009 |
Last Update Date | 24/09/2019 |