Individual
VANESSA BULLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
13100 WAYZATA BLVD STE 200, MINNETONKA, MN 55305-1810
(218) 331-4866
Mailing address
13100 WAYZATA BLVD STE 200, MINNETONKA, MN 55305-1810
(218) 331-4866
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306456
MN
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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