Individual
MICHELLE TANISHA EMORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
7831 GLENROY RD STE 145, MINNEAPOLIS, MN 55439-3115
(651) 447-3755
(651) 444-8923
Mailing address
7831 GLENROY RD STE 145, MINNEAPOLIS, MN 55439-3115
(651) 447-3755
(651) 444-8923
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304666
MN
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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