Gary Scott Howard, STUDENT/INTERN

NPI #1043662414 in Andover, Minnesota

Provider Information

NPI Number: 1043662414
Entity Type: Individual
Name: Gary Scott Howard, STUDENT/INTERN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: STUDENT/INTERN
Enumeration Date: Jul 8, 2016
Last Updated: Jul 8, 2016

Practice Location

Address: 13750 CROSSTOWN DR NW
Address 2: MOLLY PROFESSIONAL CENTER ,PHASE II #207
City: Andover
State: Minnesota
ZIP Code: 55304-5853
Phone: (763) 755-6290

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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