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JACQUELINE BLUEM BCC, LADC

Individual Provider (NPI-1) Active

Counselor, Addiction (Substance Use Disorder)

Provider Information

NPI Number
1518294032
Provider Type
Individual Provider (NPI-1)
Credentials
BCC, LADC
Status
Active

Contact & Location

Address
7580 160TH STREET WEST, LAKEVILLE, MN, 55044
Phone
(612) 871-0118
Fax
(612) 870-2403

Specialties & Taxonomies

Counselor, Addiction (Substance Use Disorder) Primary License: MN #302710

All Addresses

LOCATION

7580 160TH STREET WEST

LAKEVILLE, MN, 55044

(612) 871-0118

MAILING

7580 160TH STREET WEST

LAKEVILLE, MN, 55044

(651) 356-2938