Individual
MS. ALEXANDRA BLONIGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, LADC
Contact information
Practice address
105 6TH AVE S, PRINCETON, MN 55371-1819
(763) 308-0006
(763) 631-0339
Mailing address
23137 TAMARACK ST NW, SAINT FRANCIS, MN 55070-9625
(612) 388-9129
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304562
MN
Other
Enumeration date
01/04/2018
Last updated
01/04/2018
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