Individual
JESSICA DUSBABEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2480 S COUNTY ROAD 45, OWATONNA, MN 55060-5113
(612) 454-2121
(507) 451-2705
Mailing address
651 WILLOWBROOK DR NE, OWATONNA, MN 55060-6204
(612) 910-0335
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302454
MN
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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