Individual
COREY ROBERT KANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LADC
Contact information
Practice address
343 WOODLAKE DR SE, ROCHESTER, MN 55904-6242
(507) 535-5776
Mailing address
343 WOODLAKE DR SE, ROCHESTER, MN 55904-6242
(507) 535-5776
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305151
MN
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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