JOHN AMBROSE

COON RAPIDS, MN
NPI1881364008
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  304566)
Enumeration Date2021-09-18
Last Update Date2021-09-18
Business Address
JOHN AMBROSE
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433-2638
Phone number: 612-562-6790
Mailing Address
JOHN AMBROSE
11660 ROUND LAKE BLVD NW
COON RAPIDS, MN 55433-2638
Phone number: 612-562-6790