Individual
TRACIE CHRISTIANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
3162 90TH AVE, PRINCETON, MN 55371-6134
(763) 220-5483
(763) 220-3969
Mailing address
3162 90TH AVE, PRINCETON, MN 55371-6134
(763) 220-5483
(763) 220-3969
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306878
MN
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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