Individual
AMANDA BACON DWINELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1001 HIGHWAY 7 RM 237, HOPKINS, MN 55305-4737
(952) 988-5356
Mailing address
1001 HIGHWAY 7 RM 237, HOPKINS, MN 55305-4737
(952) 988-5356
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
01796
MN
Other
Enumeration date
03/29/2018
Last updated
11/02/2018
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