Individual
KYLE LIPINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSS, LADC
Contact information
Practice address
438 DOROTHY DAY PL, SAINT PAUL, MN 55102-1081
(651) 793-2219
Mailing address
153 CESAR CHAVEZ ST, SAINT PAUL, MN 55107-2226
(651) 389-2540
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305060
MN
Other
Enumeration date
12/17/2019
Last updated
12/19/2019
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