Individual
RICHARD DAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
6470 129TH ST W, APPLE VALLEY, MN 55124-5300
(651) 402-9564
Mailing address
525 LEXINGTON PKWY S APT 403, SAINT PAUL, MN 55116-1748
(651) 425-1708
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301150
MN
Other
Enumeration date
09/13/2019
Last updated
09/13/2019
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