Individual
JOANNE MARIE RIEGERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1339 PELICAN LN, DETROIT LAKES, MN 56501-2726
(218) 847-8572
(218) 847-6113
Mailing address
3035 130TH AVE, WAUBUN, MN 56589-9197
(218) 473-2037
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC00978
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC00978
STATE OF MN, BOARD OF BEHAVIORAL HEALTH AND THERAPY
MN
Enumeration date
05/11/2015
Last updated
05/11/2015
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