Individual
AUDREY JEAN KORTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
119 FRIBERG AVE, FERGUS FALLS, MN 56537-2306
(218) 332-2018
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305096
MN
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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