Individual
JULIE EVENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
111 MARKET ST STE 4A, WINONA, MN 55987-5532
(507) 452-5033
Mailing address
111 MARKET ST STE 4A, WINONA, MN 55987-5532
(507) 452-5033
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304312
MN
Other
Enumeration date
04/11/2025
Last updated
05/12/2025
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