Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MARY LARISSA GORMAN, MA, LADC
Active Sole ProprietorMS. MARY LARISSA GORMAN, MA, LADC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in SAINT PAUL, Minnesota. NPI 1790078517 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · SAINT PAUL, MN
Registration Details
- NPI Number
- 1790078517
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 26, 2011 (15.035616023402 yrs)
- Last Updated
- May 26, 2011
- License
-
302977 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
135 COLORADO ST ESAINT PAUL, MN, 551072244Browse MN providers · Browse ZIP 55107
- Phone
- 6514897740
- Fax
- 6514896458
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in SAINT PAUL, MN
| Name | Credential | NPI |
|---|---|---|
| PROF. ROSEMARY B WILLIAMS | BCCR-LADC | 1740288893 |
| THOMAS S GERENZ | LACD | 1851474290 |
| SARAH ELIZABETH BIXLER | MA, CSAC, LADC | 1518181452 |
| MR. CHARLES JOSEPH MISHEK | M.A., L.P., L.A.D.C. | 1932325735 |
| JANUSZ GNOINSKI | LADC | 1639396021 |
| MS. LISA N HOOGHEEM | MA, LADC | 1134314982 |
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.