Individual
MRS. HOLLY JO WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1132 CENTRAL AVE NE, MINNEAPOLIS, MN 55413-1512
(612) 236-1700
(612) 236-1701
Mailing address
1061 DAYTON AVE, SAINT PAUL, MN 55104-7297
(651) 815-7814
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301746
MN
Other
Enumeration date
09/16/2010
Last updated
09/04/2012
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