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Individual
MIKAYLA GRACE BAKER THORN
Active
Individual
MIKAYLA GRACE BAKER THORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
307010
MN
101YM0800X
Mental Health Counselor
5626
MN
101YP2500X
Professional Counselor
Primary
5626
MN
Other
Enumeration date
06/02/2026
Last updated
07/14/2026
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