Individual
KRISTA TOMFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC, CRC
Contact information
Practice address
1501 HENNEPIN AVE, MINNEAPOLIS, MN 55403-1710
(612) 659-6383
Mailing address
150 24TH AVE N, SAINT CLOUD, MN 56303-4342
(320) 309-4020
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306084
MN
Other
Enumeration date
02/19/2025
Last updated
02/19/2025
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