JACK RIVALL

SAINT PAUL, MN
NPI1326688284
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  304229)
Enumeration Date2020-01-08
Last Update Date2020-01-08
Business Address
JACK RIVALL
287 6TH ST E STE 300
SAINT PAUL, MN 55101-1690
Phone number: 651-221-0334
Mailing Address
JACK RIVALL
287 6TH ST E STE 300
SAINT PAUL, MN 55101-1690
Phone number: 651-221-0334
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