Individual
AMY BETH BUTLER BLEEKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13100 WAYZATA BLVD STE 200, MINNETONKA, MN 55305-1810
(952) 333-4119
Mailing address
1380 ARBOR ST, WAYZATA, MN 55391-9107
(651) 231-5356
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305805
MN
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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