Individual
SEVILLA MEYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LADC
Contact information
Practice address
16870 91ST AVE N APT 327, MAPLE GROVE, MN 55311-5489
(320) 515-0195
Mailing address
145 2ND AVE SE, CAMBRIDGE, MN 55008-1602
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306867
MN
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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