Individual
LORNA HUNT ELLISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
4027 HILLCREST ROAD, DEEPHAVEN, MN 55391-3607
(612) 308-4508
Mailing address
4027 HILLCREST ROAD, DEEPHAVEN, MN 55391-3607
(612) 308-4508
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303411
MN
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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