Individual
DANIELLE MARIE AUDETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC, LADC
Contact information
Practice address
4969 OLSON MEMORIAL HWY, GOLDEN VALLEY, MN 55422-5138
(763) 575-8086
Mailing address
4969 OLSON MEMORIAL HWY, GOLDEN VALLEY, MN 55422-5138
(763) 575-8086
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304493
MN
101YP2500X
Professional Counselor
Primary
CC01908
MN
Other
Enumeration date
06/12/2018
Last updated
02/09/2019
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