Individual
AMBER ROSE HARDTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
11400 JULIANNE AVE N, STILLWATER, MN 55082-9436
(612) 454-2076
Mailing address
11400 JULIANNE AVE N, STILLWATER, MN 55082-9436
(612) 454-2076
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303765
MN
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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