Individual
ANNETTE RIVARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
444 12TH AVE N, SOUTH ST PAUL, MN 55075-1914
(651) 917-6249
(763) 656-0204
Mailing address
444 12TH AVE N, SOUTH ST PAUL, MN 55075-1914
(651) 917-6249
(763) 656-0204
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305127
MN
Other
Enumeration date
09/27/2021
Last updated
09/27/2021
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