Individual
GARY SCOTT HOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
STUDENT/INTERN
Contact information
Practice address
13750 CROSSTOWN DR NW, MOLLY PROFESSIONAL CENTER ,PHASE II #207, ANDOVER, MN 55304-5853
(763) 755-6290
Mailing address
13750 CROSSTOWN DR NW, MOLLY PROFESSIONAL CENTER ,PHASE II #207, ANDOVER, MN 55304-5853
(763) 755-6290
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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