Individual
AUDREY COHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
13100 WAYZATA BLVD STE 200, MINNETONKA, MN 55305-1810
(952) 206-2040
Mailing address
1900 SILVER LAKE RD NW, NEW BRIGHTON, MN 55112-1786
(952) 206-2040
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301889
MN
Other
Enumeration date
09/19/2019
Last updated
11/06/2025
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