Individual
NOCEBA MBANGATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 VANDALIA ST, SAINT PAUL, MN 55114-1833
(612) 414-4730
Mailing address
2951 VANDERBIE ST, LITTLE CANADA, MN 55117-1226
(651) 274-0018
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/18/2009
Last updated
09/18/2009
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