Individual
JOHN SOWADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
348 PRIOR AVE N, SUITE 101, SAINT PAUL, MN 55104-5187
(651) 644-6616
Mailing address
348 PRIOR AVE N, SUITE 101, SAINT PAUL, MN 55104-5187
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LP0431
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7H745SO
BLUE CROSS BLUE SHIELD
MN
Enumeration date
07/26/2006
Last updated
07/08/2007
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