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Organization
PROFESSIONAL RECOVERY ORGANIZATION NETWORK, LLC
Active
Organization
PROFESSIONAL RECOVERY ORGANIZATION NETWORK, LLC
Active
Other names
PRO NETWORK
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELINDA RAE COSCARELLI PHD (OWNER)
(507) 951-9980
Entity
Organization
Contact information
Practice address
1687 WOODLANE DR STE 208, WOODBURY, MN 55125-3047
(507) 951-9980
Mailing address
47842 BLUE HERON TRL, RUSH CITY, MN 55069-2803
(507) 951-9980
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
03/17/2022
Last updated
03/20/2022
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