Individual
DIEUDONNE ACHUNCHE ASAMBANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
2301 CENTRAL AVE NE, MINNEAPOLIS, MN 55418-3709
(612) 588-9411
Mailing address
9150 ZANZIBAR LN N APT 210, MAPLE GROVE, MN 55311-1674
(651) 983-3003
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305031
MN
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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