Individual
COURTNEY HAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
529 WOODLEY ST W, NORTHFIELD, MN 55057-2765
(507) 225-0155
Mailing address
811 DIVISION ST S, MORRISTOWN, MN 55052-5122
(320) 262-0515
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306708
MN
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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