Individual
CASSONDRA LINDBOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
33184 FOREST BLVD, STACY, MN 55079-9513
(651) 400-0096
Mailing address
PO BOX 362, STACY, MN 55079-0362
(651) 400-0096
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306307
MN
Other
Enumeration date
02/16/2022
Last updated
02/16/2022
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