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Raegan Rose Bissonett
Addiction (Substance Use Disorder) Counselor in Faribault, Minnesota
NPI 1033842398

Raegan Rose Bissonett is an Addiction (Substance Use Disorder) Counselor based in Faribault, MN and is specialized in Addiction (Substance Use Disorder). Raegan Rose Bissonett practices in Faribault, MN. The NPI Number for Raegan Rose Bissonett is 1033842398 and holds a License No. 2775 (Minnesota).

The current practice location address for Raegan Rose Bissonett is 303 1St Ave Ne Ste 365, Faribault, MN and can be reached out via phone at 651-304-0307.

Location: 303 1St Ave Ne Ste 365, Faribault, MN, 55021-5297
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033842398
Provider Name
Raegan Rose Bissonett
Credential
Provider Entity Type
Individual
Gender
Female
Address
303 1St Ave Ne Ste 365, Faribault, MN, 55021-5297
Phone Number
651-304-0307
Fax Number
Provider Enumeration Date
07/05/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NONE 01 NONE
institution
Provider Business Practice Location Address Details
Address
303 1St Ave Ne Ste 365
City
Faribault
State
Minnesota
Zip
55021-5297
Phone Number
651-304-0307
Fax Number
person
Provider Business Mailing Address Details
Address
303 1St Ave Ne Ste 365
City
Faribault
State
Minnesota
Zip
55021-5297
Phone Number
651-304-0307
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
2775 (Minnesota)
Definition
Definition to come...
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