Individual
JOHN THEODORE GUDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
300 11TH AVE NW STE 112, ROCHESTER, MN 55901-2739
(507) 216-6500
Mailing address
5633 WHITE OAKS LN NW, ROCHESTER, MN 55901-3778
(218) 341-4527
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305754
MN
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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