Refine Service Coordination Pllc

NPI #1598323453 in Medford, Minnesota

Provider Information

NPI Number: 1598323453
Entity Type: Organization
Organization Name: Refine Service Coordination Pllc
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Jun 4, 2019
Last Updated: Jun 4, 2019

Practice Location

Address: 512 4TH ST SW
City: Medford
State: Minnesota
ZIP Code: 55049-9568
Phone: (507) 210-8695

Authorized Official

Name: TRACY LEE SUNDE, LADC
Title: CEO
Phone: (507) 210-8695

Specialties & Taxonomy Codes

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

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