PHILLIP HUERTA

WINONA, MN
NPI1922573666
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MN  304385)
Enumeration Date2018-10-09
Last Update Date2018-10-09
Business Address
PHILLIP HUERTA LADC
855 MANKATO AVE
WINONA, MN 55987-4868
Phone number: 507-457-4447
Mailing Address
PHILLIP HUERTA LADC
855 MANKATO AVE
WINONA, MN 55987-4868
Phone number: 507-457-4447
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