COLLEEN MACKAY

GRAND RAPIDS, MN
NPI1033325287
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  300382 (LADC))
Enumeration Date2007-05-15
Last Update Date2007-07-08
Business Address
-- COLLEEN MACKAY LADC
1215 SE 7TH AVE
GRAND RAPIDS, MN 55744-4201
Phone number: 218-313-1315
Mailing Address
-- COLLEEN MACKAY LADC
1215 SE 7TH AVE
GRAND RAPIDS, MN 55744-4201
Phone number: