Individual
RYAN JUSTIN DUSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
10077 DOGWOOD ST NW STE 110, COON RAPIDS, MN 55448-5285
(651) 777-5222
Mailing address
10077 DOGWOOD ST NW STE 110, COON RAPIDS, MN 55448-5285
(651) 777-5222
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306005
MN
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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