Individual
MR. JOSHUA ERIC MACOMBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
2419 NICOLLET AVE, MINNEAPOLIS, MN 55404-3450
(612) 708-6268
Mailing address
821 E 22ND ST, MINNEAPOLIS, MN 55404-2810
(612) 708-6268
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305344
MN
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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