Individual
IRENE CALLISTA ABIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1900 SILVER LAKE RD NW, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
Mailing address
2155 KELLY DR, GOLDEN VALLEY, MN 55427-3517
(763) 442-2935
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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