Individual
SAMUEL FRANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
451 LEXINGTON PKWY N, SAINT PAUL, MN 55104-4636
(651) 280-2310
Mailing address
451 LEXINGTON PKWY N, SAINT PAUL, MN 55104-4636
(651) 280-2310
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304529
MN
101YP2500X
Professional Counselor
Primary
CC02154
MN
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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