Individual
MELVIN CHARLES VEACH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
411 HAZEL ST N, SAINT PAUL, MN 55119-4362
(612) 402-9980
Mailing address
411 HAZEL ST N, SAINT PAUL, MN 55119-4362
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305043
MN
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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