Individual
MR. KENNETH NEIL MCDONNELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
413 COMMERCIAL AVE N, SANDSTONE, MN 55072-4412
(320) 245-9966
(651) 408-7131
Mailing address
413 COMMERCIAL AVE N, SANDSTONE, MN 55072-4412
(320) 245-9966
(651) 408-7131
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301667
MN
Other
Enumeration date
12/03/2010
Last updated
05/26/2021
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