Healthcare Provider Details

I. General information

NPI: 1760079974
Provider Name (Legal Business Name): MONICA ALEXIS ZIEBELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2020
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2117 CAMPUS DR SE
ROCHESTER MN
55904-4800
US

IV. Provider business mailing address

1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON MN
55112-1789
US

V. Phone/Fax

Practice location:
  • Phone: 507-328-6400
  • Fax:
Mailing address:
  • Phone: 651-746-2392
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number32134
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: