Individual
MRS. AMANDA MARIE SIMONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
38873 14TH AVE, NORTH BRANCH, MN 55056-6079
(651) 401-3068
(651) 674-2534
Mailing address
38873 14TH AVE, NORTH BRANCH, MN 55056-6079
(651) 401-3068
(651) 674-2534
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303037
MN
Other
Enumeration date
04/07/2011
Last updated
09/13/2016
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