Individual
REBECCA SUE PAULON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
6448 MAIN STREET, SUITES 1 AND 3, NORTH BRANCH, MN 55056
(651) 775-9804
(844) 364-7181
Mailing address
PO BOX 547, NORTH BRANCH, MN 55056-0547
(651) 775-9804
(844) 364-7181
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303412
MN
Other
Enumeration date
09/16/2022
Last updated
09/16/2022
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