Individual
SAMANTHA O'HERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW/LADC
Contact information
Practice address
1705 ANNE ST NW, BEMIDJI, MN 56601-6151
(218) 368-6886
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306905
MN
104100000X
Social Worker
32941
MN
Other
Enumeration date
02/29/2024
Last updated
03/13/2024
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