Individual
JODIE LYNNE WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
217 PLUM ST STE 220, RED WING, MN 55066-4840
(651) 846-9009
(651) 444-3292
Mailing address
217 PLUM ST STE 220, RED WING, MN 55066-4840
(651) 846-9009
(651) 444-3292
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304855
MN
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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