Diffenbaugh, Michelle Marie

Diffenbaugh, Michelle Marie is an sole proprietor health care provider with primary practice located at 1885 University Ave Suite 246, St. Paul MN 55104-3489. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Diffenbaugh, Michelle Marie can be contacted via phone (612) 326-7563.

Contact Information

Primary practice address
1885 University Ave Suite 246 St. Paul MN 55104-3489
Phone: (612) 326-7563
Fax: (651) 647-9147
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 302501 Minnesota

Profile Details

NPI number 1922398809
LBN Legal business name Diffenbaugh, Michelle Marie
Credentials LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2011
Last updated Apr 13th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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