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Individual

MR. EVAN JOSEPH FLACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, LADC

Contact information

Practice address
762 TRANSFER RD STE 21, SAINT PAUL, MN 55114-1489
(651) 659-2900
Mailing address
1180 CUSHING CIR APT 309, SAINT PAUL, MN 55108-5017

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305876
MN

Other

Enumeration date
05/24/2022
Last updated
05/24/2022
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