Individual
ALISHA DYBEDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
15251 PLEASANT VALLEY RD, CENTER CITY, MN 55012-9640
(651) 213-4294
Mailing address
2019 57TH ST, SOMERSET, WI 54025-7271
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304810
MN
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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