Individual
FREDERICK MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC, LPCC
Contact information
Practice address
13 3RD ST NE, AITKIN, MN 56431-1421
(218) 928-8003
(218) 928-8006
Mailing address
PO BOX 367, LITTLE FALLS, MN 56345-0367
(320) 632-6647
(320) 639-0014
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303199
MN
101YM0800X
Mental Health Counselor
CC00743
MN
Other
Enumeration date
09/30/2013
Last updated
05/28/2020
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