Individual
ALYSSA BURNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
10900 89TH AVE N STE 2, MAPLE GROVE, MN 55369-4098
(763) 200-1364
Mailing address
10900 89TH AVE N STE 2, MAPLE GROVE, MN 55369-4098
(763) 200-1071
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306837
MN
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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