Individual
SONJA KIRKBRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, LADC
Contact information
Practice address
6058 HIGHWAY 10 NW, ANOKA, MN 55303-4530
(763) 421-5590
Mailing address
PO BOX 358, CEDAR, MN 55011-0358
(612) 384-2689
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304121
MN
Other
Enumeration date
11/05/2018
Last updated
10/03/2019
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