Individual
JULIE BLASKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LADC LMFT
Contact information
Practice address
1310 HWY 96 E, SUITE 200, WHITE BEAR LAKE, MN 55110
(612) 241-6004
Mailing address
3515 TIFFANY LANE, SHOREVIEW, MN 55126
(651) 238-2840
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303395
MN
106H00000X
Marriage & Family Therapist
Primary
3106
MN
Other
Enumeration date
02/03/2016
Last updated
07/21/2022
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