Individual
MELISSA ANN THOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1294 18TH ST E, HASTINGS, MN 55033-3680
(651) 314-1139
Mailing address
1294 18TH ST E, HASTINGS, MN 55033-3680
(651) 314-1139
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306094
MN
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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