Individual
LISA JOY KLEIN-CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
117 W JAMES ST, PAYNESVILLE, MN 56362-1216
(320) 243-3379
(320) 243-3138
Mailing address
204 10TH AVE N, COLD SPRING, MN 56320-1229
(320) 291-1831
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302590
MN
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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