JON M HOLTHUSEN

SAINT CLOUD, MN
NPI1972065928
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2019-04-01
Last Update Date2019-04-01
Business Address
MR. JON M HOLTHUSEN LADC
713 ANDERSON AVE
SAINT CLOUD, MN 56303-2048
Phone number: 320-229-3760
Mailing Address
MR. JON M HOLTHUSEN LADC
713 ANDERSON AVE
SAINT CLOUD, MN 56303-2048
Phone number: 320-229-3760
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