Individual
DEBRA SUE CHMIELESKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16383 UPPER 22 ND STREET SOUTH, ST. CROIX BEACH, MN 55043
(651) 235-0964
Mailing address
16383 UPPER 22ND STREET SOUTH, ST. CROIX BEACH, MN 55043
(651) 235-0964
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302296
MN
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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