| NPI | 1245019165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON ROBERT HOFFMAN Lpcc Ladc Ncc 507-327-9738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2023-09-28 |
| Last Update Date | 2023-09-28 |