Individual
JAKE TORATTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1572 COUNTY ROAD 134, SAINT CLOUD, MN 56303-0346
(320) 229-5199
Mailing address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304828
MN
Other
Enumeration date
02/07/2018
Last updated
02/07/2018
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