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NPI Code Detail

MEDICARE: HELEN MAVIS FLODSTROM LADC

MEDICARE: HELEN MAVIS FLODSTROM LADC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor301830MN

General Provider Information

NPI Number : 1902977143
Entity Type Code : Individual
Provider Name (Legal Business Name) : HELEN MAVIS FLODSTROM LADC
Provider Business Mailing Address
First Line : 402 COTTONWOOD ST
Second Line :
City : BENSON
State : MN
Zip : 56215-1195
Country : US
Telephone Number : 320-843-3803
Fax Number :
Provider Business Practice Location Address
First Line : 222 9TH AVE W
Second Line :
City : ALEXANDRIA
State : MN
Zip : 56308-2221
Country : US
Telephone Number : 320-763-3912
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2006
Last Update Date : 02/15/2026

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Directions to “ HELEN MAVIS FLODSTROM LADC” Practice Location

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