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Individual

MATTHEW CHRISTIANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LADC

Contact information

Practice address
343 WOODLAKE DR SE, ROCHESTER, MN 55904-6242
(507) 535-5625
Mailing address
343 WOODLAKE DR SE, ROCHESTER, MN 55904-6242
(507) 535-5625
(507) 535-5792

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304311
MN

Other

Enumeration date
11/03/2016
Last updated
11/03/2016
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