Individual
JUSTINE MORGAN OTREMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
301 MAIN ST E, NEW PRAGUE, MN 56071-1803
(507) 301-3412
Mailing address
570 PROFESSIONAL DR, NORTHFIELD, MN 55057-2756
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC03638
MN
Other
Enumeration date
01/04/2023
Last updated
01/04/2023
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