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1053910893
VANESSA ANN KISSINGER
NEW BRIGHTON, MN
NPI
1053910893
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-10-22
Last Update Date
2024-11-07
Business Address
VANESSA ANN KISSINGER LADC
1900 SILVER LAKE RD NW STE 110
NEW BRIGHTON, MN 55112-1789
Phone number: 651-628-9566
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Mailing Address
VANESSA ANN KISSINGER LADC
1246 UNIVERSITY AVE W 1246
SAINT PAUL, MN 55104
Phone number: 763-390-7932
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