Individual
MELODY JUTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1780 RESTORATION RD SW APT 104, ROCHESTER, MN 55902-4422
(407) 351-7080
Mailing address
1780 RESTORATION RD SW APT 104, ROCHESTER, MN 55902-4422
(407) 351-7080
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
307519
MN
Other
Enumeration date
11/07/2025
Last updated
11/07/2025
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