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Individual

DON JOSEFSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, LADC

Contact information

Practice address
266 HENRIETTA AVE N, PARK RAPIDS, MN 56470-2155
(218) 252-2785
(218) 732-4695
Mailing address
266 HENRIETTA AVE N, PARK RAPIDS, MN 56470-2155
(218) 252-2785
(218) 732-4695

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303865
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
303865
STATE OF MINNESOTA LADC
MN
Enumeration date
10/26/2016
Last updated
10/26/2016
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