Individual
ANDREW S RABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
3090 HAZELWOOD ST APT 102, MAPLEWOOD, MN 55109-1238
(612) 250-5718
Mailing address
3090 HAZELWOOD ST APT 102, MAPLEWOOD, MN 55109-1238
(612) 250-5718
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306493
MN
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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