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Organization
WHITESTONE WELLNESS LLC
Active
Organization
WHITESTONE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN HARTMAN VALINE MA, LPCC, LADC (PRESIDENT)
(763) 439-1166
Entity
Organization
Contact information
Practice address
22501 JASON AVE N, FOREST LAKE, MN 55025-9160
(763) 439-1166
Mailing address
22501 JASON AVE N, FOREST LAKE, MN 55025-9160
(763) 439-1166
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/01/2024
Last updated
10/08/2024
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