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Individual

MRS. COLLEEN A CULPEPPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LADC

Contact information

Practice address
2518 1ST AVE S, MINNEAPOLIS, MN 55404-4317
(612) 239-7582
Mailing address
2518 1ST AVE S, MINNEAPOLIS, MN 55404-4317
(612) 239-7582

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
Primary
CC04247
MN

Other

Enumeration date
02/08/2022
Last updated
03/21/2024
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