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Erayna Jean Aileen Hackenmueller, LADC Valid NPI

Individual provider · Addiction (Substance Use Disorder) Counselor · New Brighton, MN

NPI
1851026983
Type
Individual (Type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor (Counselor)
Specialty group
Behavioral Health & Social Service Providers
Taxonomy code
101YA0400X
License number
305642 (MN)
Sex
Female
Sole proprietor
No
Enumerated
2022-07-21
Last updated
2022-07-21
Practice location
1900 Silver Lake Rd Nw Ste 110
New Brighton, MN 55112-1789
(651) 628-9566

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