Individual
MELISSA HUSBY HURSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9075 QUADAY AVE NE, SUITE 102, OTSEGO, MN 55330-6672
(763) 746-9492
Mailing address
1900 SILVER LAKE RD NW, SUITE 110, NEW BRIGHTON, MN 55112-1786
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302184
MN
Other
Enumeration date
04/14/2009
Last updated
04/14/2009
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