Individual
MR. KEVIN ANDREW EGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
2480 S COUNTY ROAD 45, OWATONNA, MN 55060-5113
(612) 454-2138
Mailing address
2480 S COUNTY ROAD 45, OWATONNA, MN 55060-5113
(612) 454-2138
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303741
MN
Other
Enumeration date
05/25/2015
Last updated
05/25/2015
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