Individual
RANDEE RENAE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LADC
Contact information
Practice address
1706 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3614
(651) 645-3661
(651) 645-0959
Mailing address
1706 UNIVERSITY AVE W, SAINT PAUL, MN 55104-3614
(612) 645-3661
(651) 645-0959
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303787
MN
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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