Individual
KATHERINE JOAN PETROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LADC
Contact information
Practice address
1404 CENTRAL AVE NE, MINNEAPOLIS, MN 55413-1517
(612) 286-0713
Mailing address
1404 CENTRAL AVE NE, MINNEAPOLIS, MN 55413-1517
(612) 286-0713
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305365
MN
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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