Individual
MS. SUSAN MARIE DAUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
5851 CEDAR LAKE RD S # 206, ST LOUIS PARK, MN 55416-1481
(612) 424-2541
Mailing address
11832 MOUNT CURVE RD, EDEN PRAIRIE, MN 55347-2928
(612) 282-7518
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
305064
MN
101YM0800X
Mental Health Counselor
Primary
03764
MN
Other
Enumeration date
03/25/2020
Last updated
10/16/2024
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