Individual
JESSICA BERTHA ELFERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
ST CLOUD HOSPITAL, 1406 6TH AVENUE NORTH, ST CLOUD, MN 56303-1901
(320) 251-2700
(320) 255-5969
Mailing address
ST CLOUD HOSPITAL, 1406 6TH AVENUE NORTH, ST CLOUD, MN 56303-1901
(320) 251-2700
(320) 255-5969
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302333
MN
Other
Enumeration date
05/16/2018
Last updated
05/16/2018
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