Individual
JOANNIE LOUISE RECKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LADC
Contact information
Practice address
1101 E 78TH ST, 100, BLOOMINGTON, MN 55420-1400
(952) 854-5034
Mailing address
1900 SILVER LAKE ROAD NW, SUITE 110, NEW BRIGHTON, MN 55112
(651) 379-1718
(651) 379-1738
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304514
MN
Other
Enumeration date
06/15/2016
Last updated
07/21/2016
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