Individual
MS. DANIELLE RAE SPOLARICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LADC
Contact information
Practice address
505 S 12TH AVE W, VIRGINIA, MN 55792-3099
12187492877127
(218) 749-6033
Mailing address
505 S 12TH AVE W, VIRGINIA, MN 55792-3099
12187492877127
(218) 749-6033
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
309494
MN
101YM0800X
Mental Health Counselor
1862
MN
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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