Individual
PANDA HAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
624 N WASHINGTON AVE, SAINT PETER, MN 56082-1981
(218) 252-4885
Mailing address
624 N WASHINGTON AVE, SAINT PETER, MN 56082-1981
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/18/2025
Last updated
11/19/2025
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