Doctor Name: | MS. PATRICIA A. PARDUN |
NPI Number: | 1093722837 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LMFT, LADC |
License Number: | 300371 |
Business Practice Address: | 521 Tanglewood Dr Shoreview, MN - 551262016 |
Business Phone Number: | 6514335400 |
Business Fax Number: | 6514335930 |
Mailing Address: | Po Box 146, MARINE ON SAINT CROIX |
State: | MN |
Postal Code: | 550470146 |
Phone Number: | 6514332130 |
Fax Number: | 6514335930 |
NPI Enumeration Date: | 08/02/2006 |
NPI Last Update Date: | 03/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 300371 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |