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Individual

ADAM CHRISTOPHER WRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1675 BEAM AVE STE 200, MAPLEWOOD, MN 55109-1479
(612) 313-4396
Mailing address
1675 BEAM AVE STE 200, MAPLEWOOD, MN 55109-1479
(612) 313-4396

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305559
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
101104814
RTC DEPARTMENT
05
182263856
MN
Enumeration date
08/08/2020
Last updated
08/08/2020
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