Individual
MS. MARY A POPELKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
375 ORLEANS ST E, STILLWATER, MN 55082-5830
(651) 351-3118
(651) 351-3155
Mailing address
375 ORLEANS ST E, STILLWATER, MN 55082-5830
(651) 351-3118
(651) 351-3155
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303626
MN
Other
Enumeration date
11/11/2015
Last updated
11/11/2015
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