Individual
LASHONNA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1821 UNIVERSITY AVE W STE N385, SAINT PAUL, MN 55104-2872
(612) 454-2072
Mailing address
1821 UNIVERSITY AVE W STE N385, SAINT PAUL, MN 55104-2872
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306425
MN
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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