Individual
MARCIE HENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7300 147TH ST W, SUITE 204, APPLE VALLEY, MN 55124-7541
(952) 997-3020
Mailing address
1900 SILVER LAKE RD NW, SUITE 110, NEW BRIGHTON, MN 55112-1786
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301454
MN
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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