Individual
COURTNEY DALLUGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
101 MARTIN LUTHER KING DR, MANKATO, MN 56001-6460
(507) 668-2814
Mailing address
101 MARTIN LUTHER KING DR, MANKATO, MN 56001-6460
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306954
MN
Other
Enumeration date
01/09/2025
Last updated
01/09/2025
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