Individual
RIAN MIESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11660 ROUND LAKE BLVD NW, COON RAPIDS, MN 55433-2638
(763) 767-3350
Mailing address
1161 WALL ST, BIG LAKE, MN 55309-8824
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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