Individual
SHANIA VAUPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5354 PARKDALE DR, ST LOUIS PARK, MN 55416-1603
(888) 364-5977
Mailing address
5453 PARKDALE DR, MINNEAPOLIS, MN 55416
(888) 364-5977
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/07/2021
Last updated
03/20/2024
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