Individual
BETH ELLEN VONGEMMINGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LADC
Contact information
Practice address
1320 S FRONTAGE RD STE 200, HASTINGS, MN 55033-2481
(651) 500-0905
Mailing address
1320 S FRONTAGE RD STE 200, HASTINGS, MN 55033-2481
(651) 500-0905
(651) 437-2616
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
300876
MN
101YP2500X
Professional Counselor
Primary
00073
MN
Other
Enumeration date
10/02/2021
Last updated
10/02/2021
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