Individual
MR. DAVID R RUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LADC
Contact information
Practice address
305 9TH ST, WINDOM, MN 56101-0443
(507) 831-4699
(507) 831-4755
Mailing address
305 9TH ST, P O BOX 443, WINDOM, MN 56101-0443
(507) 831-4699
(507) 831-4755
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301173
MN
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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