Individual
MR. LUCAS BURTON WINSKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
1506 1ST ST, PRINCETON, MN 55371-1462
(763) 389-5080
(763) 389-5453
Mailing address
1506 1ST ST, PRINCETON, MN 55371-1462
(763) 389-5080
(763) 389-5453
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303192
MN
Other
Enumeration date
03/16/2012
Last updated
03/16/2012
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