Individual
EMMANUEL OPPONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22 WILSON AVE NE STE 209, SAINT CLOUD, MN 56304-0440
(320) 237-6996
Mailing address
PO BOX 2041, SAINT CLOUD, MN 56302-2041
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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