Individual
MELISSA LANGEWISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BAS, LADC
Contact information
Practice address
3833 COON RAPIDS BLVD NW STE 120, COON RAPIDS, MN 55433-2599
(763) 767-3350
(763) 767-0912
Mailing address
1900 SILVER LAKE RD NW #110, NEW BRIGHTON, MN 55112
(651) 379-1718
(651) 379-1738
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303737
MN
Other
Enumeration date
10/10/2014
Last updated
10/23/2014
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