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Individual

CALLEE RAE NOLDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LADC

Contact information

Practice address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1901
(320) 251-2700
(320) 656-7106
Mailing address
1406 6TH AVE N, SAINT CLOUD, MN 56303-1901
(320) 251-2700
(320) 656-7106

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1010
MT
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302959
MN

Other

Enumeration date
09/15/2009
Last updated
10/27/2020
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