Individual
ELISSA L HARTWIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
15940 PINE SHORES RD, BRAINERD, MN 56401-5827
(218) 831-3043
Mailing address
15940 PINE SHORES RD, BRAINERD, MN 56401-5827
(218) 831-3043
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303653
MN
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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