Individual
EMILY MARKSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
1900 SILVER LAKE RD NW, SUITE 210, NEW BRIGHTON, MN 55112-1786
(763) 742-9496
Mailing address
1900 SILVER LAKE RD NW, SUITE 210, NEW BRIGHTON, MN 55112-1786
(763) 742-9496
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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