Individual
EMILY NIENKERK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 N BROAD ST, MANKATO, MN 56001-3585
(507) 200-2624
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304005
MN
Other
Enumeration date
07/17/2020
Last updated
07/17/2020
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