Individual
GINA LEE ADAMSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC, CSAC
Contact information
Practice address
1507 TOWER AVE STE 307, SUPERIOR, WI 54880-2553
(218) 336-9300
(715) 392-8041
Mailing address
1507 TOWER AVE STE 307, SUPERIOR, WI 54880-2553
(218) 336-9300
(715) 392-8041
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302972
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
302972
LADC
MN
Enumeration date
10/29/2012
Last updated
10/29/2012
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