| NPI | 1801963830 |
|---|---|
| Doing Business As | LIFESTYLE COUNSELING OF RICHFIELD-BLOOMINGTON |
| Entity Type | Organization |
| Authorized Contact | SUSAN J TOSTEVIN Owner 952-888-3511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 1015735-2-CDT) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |