Organization
ASAM COUNSELING AND WELLNESS LLC
Active
Other names
ASAM Counseling and Wellness LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DIEUDONNE ASAMBANG MA, LADC, LPCC, LSC (PROFESSIONAL COUNSELOR & SUPERVISOR)
(763) 221-3506
Entity
Organization
Contact information
Practice address
9150 ZANZIBAR LN N APT 210, MAPLE GROVE, MN 55311-1674
(763) 221-3506
Mailing address
13500 GROVE DR, 1591, MAPLE GROVE, MN 55311
(763) 221-3506
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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