JAY ROBERT CLEMENS

COON RAPIDS, MN
NPI1841984929
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MN  304813)
Enumeration Date2023-06-02
Last Update Date2023-06-02
Business Address
JAY ROBERT CLEMENS LADC
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433-2638
Phone number: 763-767-3350
Mailing Address
JAY ROBERT CLEMENS LADC
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433-2638
Phone number: 763-528-5141
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