Most Relevant Information
Provider Data
| NPI Number: | 1003389669 |
| Provider Name: | JAMES PATRICK MCENROE LADC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 304070 |
Most Important Dates
| Enumeration Date: | 01/07/2019 |
| Last Updated: | 01/07/2019 |
Provider Practice Location
11900 WAYZATA BLVD STE 100
MINNETONKA
MN
553052018
Practice Location Phone/Fax
| Phone: | 6124542412 |
| Fax: | 9525461683 |
Provider Mailing Location
11900 WAYZATA BLVD STE 100
MINNETONKA
MN
553052018
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |