Individual
JEANNETTE MASSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1983 SLOAN PL STE 15, MAPLEWOOD, MN 55117-2004
(651) 888-2463
(651) 340-2163
Mailing address
1983 SLOAN PL STE 15, MAPLEWOOD, MN 55117-2004
(651) 340-1373
(651) 340-2163
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305290
MN
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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