ANGIE RACHELLE MARTY LADC
Individual Provider (NPI-1)
Active
Counselor, Addiction (Substance Use Disorder)
Provider Information
- NPI Number
1891981593- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LADC
- Status
- Active
Contact & Location
- Address
- 6017 BIRCHWOOD RD, WOODBURY, MN, 551252007
- Phone
- (651) 354-5455
Specialties & Taxonomies
Physical Therapy Assistant
Counselor, Addiction (Substance Use Disorder)
Primary License: MN #304564
All Addresses
MAILING
3817 PRAIRIE RD
WHITE BEAR LAKE, MN, 551104837