Individual
REBECCA LOU VELLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
700 RAYMOND AVE, SAINT PAUL, MN 55114-4503
(218) 269-2266
Mailing address
700 RAYMOND AVE, SAINT PAUL, MN 55114-4503
(218) 269-2266
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305375
MN
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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