Individual
MICHELLE PETRIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
102 MILLER ST, NEW YORK MILLS, MN 56567-4333
(218) 385-2991
Mailing address
102 MILLER ST, NEW YORK MILLS, MN 56567-4333
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304222
MN
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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