# TRU CHRYSALIS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336855634
- **Authorized official:** KAU MACADOR QUEEGLAY LPCC, LADC (PRESIDENT)
- **Authorized official phone:** (612) 462-5121

## Contact information

- **Practice address:** 275 4TH ST E STE 807, SAINT PAUL, MN 55101-1687
- **Practice address phone:** (612) 462-5121
- **Mailing address:** 275 4TH ST E STE 807, SAINT PAUL, MN 55101-1687
- **Mailing address phone:** (612) 462-5121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 01/30/2023
- **Last updated:** 01/30/2023