Healthcare Provider Details

I. General information

NPI: 1124534508
Provider Name (Legal Business Name): HOLLY ANN RIGELMAN MA, LADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HOLLY CRANDALL

II. Dates (important events)

Enumeration Date: 12/20/2017
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3257 19TH ST NW STE 4
ROCHESTER MN
55901-6797
US

IV. Provider business mailing address

9298 CENTRAL AVE NE STE 310
BLAINE MN
55434-4219
US

V. Phone/Fax

Practice location:
  • Phone: 651-955-4633
  • Fax: 651-440-9827
Mailing address:
  • Phone: 651-955-4633
  • Fax: 651-440-9827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number304375
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: