Individual
DAVID WOOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, LADC
Contact information
Practice address
5537 CANNON DALE CT, RED WING, MN 55066-1145
(952) 381-5272
Mailing address
5537 CANNON DALE CT, RED WING, MN 55066-1145
(952) 381-5272
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304195
MN
Other
Enumeration date
02/16/2017
Last updated
02/16/2017
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