Individual
SCOTT HOLTZLEICER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1145 SHENANDOAH LN N, PLYMOUTH, MN 55447-3201
(612) 596-9198
(612) 321-3807
Mailing address
1145 SHENANDOAH LN N, PLYMOUTH, MN 55447-3201
(612) 596-9198
(612) 321-3807
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303853
MN
Other
Enumeration date
04/07/2015
Last updated
04/07/2015
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