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Individual
MISTY JEANNE COONAN
Active
Individual
MISTY JEANNE COONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
305416
MN
101YP2500X
Professional Counselor
Primary
3905
MN
Other
Enumeration date
09/23/2020
Last updated
11/04/2025
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