Individual
MS. REBECCA JANE MUOTKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
219 ROBIE ST E, SAINT PAUL, MN 55107-2325
(612) 275-6982
(651) 342-6912
Mailing address
219 ROBIE ST E, SAINT PAUL, MN 55107-2325
(612) 275-6982
(651) 342-6912
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303435
MN
Other
Enumeration date
02/14/2013
Last updated
02/14/2013
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