Individual
MRS. KATHLEEN ROSE-PENKALA MASSMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC AND M,S.
Contact information
Practice address
9766 FALLON AVE NE STE 201, MONTICELLO, MN 55362-4589
(637) 323-3517
(763) 322-5026
Mailing address
1125 S CEDAR STREET, SUITE 112, MONTICELO, MN 55362
(651) 208-9533
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
305
MN
Other
Enumeration date
06/09/2011
Last updated
10/20/2018
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