Individual
CHEYENNE MARIE FENDRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
201 N BROAD ST STE 200, MANKATO, MN 56001-3569
(507) 200-2624
Mailing address
100 GOLDFINCH CT APT 1, MANKATO, MN 56001-3156
(507) 380-0580
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MN
Other
Enumeration date
05/31/2021
Last updated
05/31/2021
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