Individual
BRENDA CECILIA GUZMAN GALICIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
762 TRANSFER RD STE 21, SAINT PAUL, MN 55114-1489
(952) 446-7814
Mailing address
762 TRANSFER RD STE 21, SAINT PAUL, MN 55114-1489
(651) 523-0336
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305534
MN
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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