James Patrick Mcenroe
Addiction Counselor (Substance Use Disorder)
11900 Wayzata Blvd Ste 100
Minnetonka
, Minnesota 55305-2018
James Patrick Mcenroe
Addiction Counselor (Substance Use Disorder)
11900 Wayzata Blvd Ste 100
Minnetonka
, Minnesota 55305-2018
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About
Features
Specialties
- Addiction Counselor (Substance Use Disorder)
Languages spoken
- English
Location
First Address
- James Patrick Mcenroe
- 11900 Wayzata Blvd Ste 100
- Minnetonka, MN
- Zip : 55305-2018
- Phone :
Second Address
- James Patrick Mcenroe
- 11900 Wayzata Blvd Ste 100
- Minnetonka, MN
- Zip : 55305-2018
- Fax : (952) 546-1683
- Phone : (612) 454-2412
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 304070 | MN |
National Provider Identifier
| NPI | 1003389669 |
|---|---|
| Provider Name | James Patrick Mcenroe |
| First Address | Minnetonka, MN 55305-2018 |
| Second Address | Minnetonka, MN 55305-2018 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/01/2019 |
| Last Update Date | 07/01/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.