Individual
DEBRA LYNN WACHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, LADC
Contact information
Practice address
343 WOODLAKE DR SE, ROCHESTER, MN 55904-6242
(507) 289-2089
(507) 535-5783
Mailing address
2145 KENNETH DR, ALBERT LEA, MN 56007-4012
(507) 383-5490
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303120
MN
Other
Enumeration date
08/03/2011
Last updated
08/03/2011
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