Individual
PATRICIA ANN MANDAKUNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
401 16TH ST SE STE 100, ROCHESTER, MN 55904-7974
(507) 516-0030
(507) 516-0031
Mailing address
11063 55TH AVE, SEMINOLE, FL 33772-7231
(727) 417-2126
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306870
MN
Other
Enumeration date
02/07/2024
Last updated
02/09/2024
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