Life Transformations
NPI #1689186587 in Breckenridge, Minnesota
Provider Information
- NPI Number
- 1689186587
- Entity Type
- Organization
- Organization Name
- Life Transformations
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Oct 31, 2017
- Last Updated
- Jun 16, 2018
Practice Location
- Address
- 227 6TH ST N
- City
- Breckenridge
- State
- Minnesota
- ZIP Code
- 56520-1503
- Phone
- (701) 640-8915
Authorized Official
- Name
- MATA PETESON
- Title
- OWNER/ADDICTION COUNSELOR
- Phone
- (701) 640-8915
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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