Individual
MICHAEL MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ADC-T
Contact information
Practice address
700 RAYMOND AVE STE 100, SAINT PAUL, MN 55114-1700
(612) 699-7764
(833) 590-2221
Mailing address
700 RAYMOND AVE STE 100, SAINT PAUL, MN 55114-1700
(612) 699-7764
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2664
MN
Other
Enumeration date
11/15/2022
Last updated
11/15/2022
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