Individual
MISTY LYNN VIRNIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LADC
Contact information
Practice address
18562 MINOBIMAADIZI LOOP, ONAMIA, MN 56359-3001
(320) 532-4163
(320) 532-7495
Mailing address
PO BOX 223, ONAMIA, MN 56359-0223
(320) 360-9163
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303226
MN
Other
Enumeration date
10/12/2018
Last updated
05/03/2023
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