Individual
PIERRE HENRI FAILLETTAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA, MDIV, LADC
Contact information
Practice address
3409 PORTLAND AVE, MINNEAPOLIS, MN 55407-2023
(612) 999-8215
(651) 393-5161
Mailing address
3409 PORTLAND AVE, MINNEAPOLIS, MN 55407-2023
(612) 999-8215
(651) 393-5161
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304389
MN
Other
Enumeration date
01/19/2019
Last updated
01/19/2019
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