Individual
JANELLE KAY MELLGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
802 S FRONT ST, MANKATO, MN 56001-2401
(507) 295-4941
(507) 295-4934
Mailing address
802 S FRONT ST, MANKATO, MN 56001-2401
(507) 295-4941
(507) 295-4934
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304292
MN
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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