Individual
MR. JOHN ALEX ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
797 7TH ST E, SAINT PAUL, MN 55106-5014
(651) 379-4200
(651) 292-0347
Mailing address
979 EAST 7TH STREET, ST. PAUL, MN 55106
(651) 379-4200
(651) 292-0347
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304108
MN
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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