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Organization

ANEW LLC

Active
Parent organization
ANEW LLC
Other names
ANEW Chemical Health Services
Organization subpart
Yes

Provider details

NPI number
Legal business name
ANEW LLC
Authorized official
MICHAELENE COLESTOCK MA LADC LPCC (OWNER/FOUNDER/CEO)
(651) 402-4055
Entity
Organization

Contact information

Practice address
445 ETNA ST STE 55, SAINT PAUL, MN 55106-5848
(651) 756-8561
Mailing address
445 ETNA ST STE 55, SAINT PAUL, MN 55106-5848
(651) 756-8561

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1083233
MN

Other

Enumeration date
11/08/2017
Last updated
09/02/2024
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