JUSTIN CRAWFORD DIEHL

SAINT PAUL, MN
NPI1194374850
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  302571)
Enumeration Date2019-09-05
Last Update Date2019-09-05
Business Address
Mr. JUSTIN CRAWFORD DIEHL LADC
976 JUNO AVENUE
SAINT PAUL, MN 55102
Phone number: 651-336-9256
Mailing Address
Mr. JUSTIN CRAWFORD DIEHL LADC
1043 GRAND AVENUE #133
SAINT PAUL, MN 55105
Phone number: 651-336-9256