Individual
LEAH WACHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
7300 147TH ST W, APPLE VALLEY, MN 55124-7541
(952) 997-3020
Mailing address
5920 14TH AVE S, MINNEAPOLIS, MN 55417-3222
(612) 866-8861
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302237
MN
Other
Enumeration date
10/03/2015
Last updated
10/03/2015
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