Individual
CHRISTOPHER VOELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1883 2ND ST, WHITE BEAR LAKE, MN 55110-3176
(651) 260-4669
Mailing address
1883 2ND ST, WHITE BEAR LAKE, MN 55110-3176
(651) 260-4669
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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