Individual
JANESA MARIE HUPKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15251 PLEASANT VALLEY RD, CENTER CITY, MN 55012-9640
(651) 213-4541
(651) 213-4540
Mailing address
PO BOX 11, CENTER CITY, MN 55012-0011
(651) 213-4541
(651) 213-4540
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302033
MN
Other
Enumeration date
01/31/2020
Last updated
01/31/2020
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