Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANTONIO BOONE SR., LADC
Active Sole ProprietorANTONIO BOONE SR., LADC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in NEW BRIGHTON, Minnesota. NPI 1497507925 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · NEW BRIGHTON, MN
Registration Details
- NPI Number
- 1497507925
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 5, 2024 (2.3430223519977 yrs)
- Last Updated
- Apr 5, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
1900 SILVER LAKE RD NW STE 210NEW BRIGHTON, MN, 551121786Browse MN providers · Browse ZIP 55112
- Phone
- 6513842549
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in NEW BRIGHTON, MN
| Name | Credential | NPI |
|---|---|---|
| MR. TIMOTHY RICHARD BRUSTAD | L.A.D.C. | 1700953353 |
| DEAN LOUIS GILBERTSON | LADC | 1285856872 |
| TIMOTHY A RICE | LADC | 1487829677 |
| TAMMY JON FROST JOHNSON | LADC | 1184899270 |
| DARRNELL DEE KRELL | LADC | 1083870992 |
| MARZACK BALASCO MCALLISTER | LADC | 1225356892 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.