Individual
SUSAN ANNETTE NEUTTILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ALCOHOL DRUG COUNSEL
Contact information
Practice address
626 S 13TH ST, DETOX RANGE TREATMENT CENTER, VIRGINA, MN 55792
(218) 741-9120
(218) 741-3170
Mailing address
626 S 13TH ST, DETOX RANGE TREATMENT CENTER, VIRGINA, MN 55792
(218) 741-9120
(218) 741-3170
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
300410
MN
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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