Mino-Miikanaang Bima'adoo

NPI #1467197426 in Red Lake, Minnesota

Provider Information

NPI Number: 1467197426
Entity Type: Organization
Organization Name: Mino-Miikanaang Bima'adoo
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: May 3, 2022
Last Updated: May 3, 2022

Practice Location

Address: 14468 LITTLE ROCK ST.
City: Red Lake
State: Minnesota
ZIP Code: 56671
Phone: (218) 368-2472

Authorized Official

Name: MRS. TASHINA LERAE BRANCHAUD, LSW, LADC, CADCII
Title: OWNER
Phone: (218) 368-2472

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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