Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PANDA HAM
ActivePANDA HAM is a Addiction (Substance Use Disorder) Counselor healthcare provider located in SAINT PETER, Minnesota. NPI 1790646974 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · SAINT PETER, MN
Registration Details
- NPI Number
- 1790646974
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 18, 2025 (0.71601355124867 yrs)
- Last Updated
- Nov 19, 2025
Practice Information
- Address
-
624 N WASHINGTON AVESAINT PETER, MN, 560821981Browse MN providers · Browse ZIP 56082
- Phone
- 2182524885
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in SAINT PETER, MN
| Name | Credential | NPI |
|---|---|---|
| BETHANY LYN ILIFF | — | 1043783004 |
| KEVIN JAMES LANGTON | LADC | 1386221885 |
| LYDIA BOEHLKE | LADC | 1669245528 |
| JACQUELINE WILLARD | LADC | 1578337903 |
| SKYLAR MCMURTREY | LADC | 1285509968 |
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.