Individual
MICHELLE BAHR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC, CPP
Contact information
Practice address
287 MARSCHALL RD STE 105, SHAKOPEE, MN 55379-1678
(612) 787-8774
(952) 500-8457
Mailing address
287 MARSCHALL RD STE 105, SHAKOPEE, MN 55379-1678
(612) 787-8774
(952) 500-8457
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303026
MN
Other
Enumeration date
01/23/2015
Last updated
01/23/2015
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