Individual
COURTNEY DENISE MIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7300 147TH ST W, APPLE VALLEY, MN 55124-7541
(952) 997-3020
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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