person
Melissa M Prudhomme, LADC
Addiction (Substance Use Disorder) Counselor in Minneapolis, Minnesota
NPI 1730449935

Melissa M Prudhomme is an Addiction (Substance Use Disorder) Counselor based in Minneapolis, MN and is specialized in Addiction (Substance Use Disorder). Melissa M Prudhomme practices in Minneapolis, MN and has the professional credentials of LADC. The NPI Number for Melissa M Prudhomme is 1730449935 and holds a License No. 302411 (Minnesota).

The current practice location address for Melissa M Prudhomme is 1132 Central Ave Ne, Minneapolis, MN and can be reached out via phone at 612-902-5932 and via fax at 612-236-1701.

Location: 1132 Central Ave Ne, Minneapolis, MN, 55413-1512
person
Provider Profile Details
NPI Number
1730449935
Provider Name
Melissa M Prudhomme
Credential
LADC
Provider Entity Type
Individual
Gender
Female
Address
1132 Central Ave Ne, Minneapolis, MN, 55413-1512
Phone Number
612-902-5932
Fax Number
612-236-1701
Provider Enumeration Date
05/22/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1132 Central Ave Ne
City
State
Zip
55413-1512
Phone Number
612-902-5932
Fax Number
612-236-1701
person
Provider Business Mailing Address Details
Address
1132 Central Ave Ne
City
State
Zip
55413-1512
Phone Number
612-902-5932
Fax Number
612-236-1701
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
302411 (Minnesota)
Definition
Definition to come...
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