Individual
JEAN MARIE PLATTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
140 QUAIL ST, MAHTOMEDI, MN 55115-1941
(612) 454-2469
Mailing address
140 QUAIL ST, MAHTOMEDI, MN 55115-1941
(612) 454-2469
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303483
MN
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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