Individual
ABBIE POUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15265 CARROUSEL WAY STE 100, ROSEMOUNT, MN 55068-1760
(952) 443-4600
Mailing address
PO BOX 51, VICTORIA, MN 55386-0051
(952) 443-4600
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2916
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2019
Last updated
08/04/2021
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