Individual
CYNTHIA LEE GUDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
912 MAIN ST UNIT B, LITTLEFORK, MN 56653-9379
(218) 278-4607
(218) 278-6223
Mailing address
912 MAIN ST UNIT B, LITTLEFORK, MN 56653-9379
(218) 278-4607
(218) 278-6223
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302425
MN
Other
Enumeration date
03/27/2014
Last updated
12/16/2016
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