Individual
LAURA G ARRADONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
3470 WASHINGTON DR STE 165, EAGAN, MN 55122-3517
(612) 454-2243
(651) 454-2972
Mailing address
3470 WASHINGTON DR STE 165, EAGAN, MN 55122-3517
(612) 454-2243
(651) 454-2972
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301039
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164556544
—
MN
Enumeration date
01/02/2019
Last updated
01/02/2019
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