Individual
KRISTA WANOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, MFT, AT
Contact information
Practice address
2265 COMO AVE, SAINT PAUL, MN 55108-1737
(651) 645-5323
Mailing address
2265 COMO AVE, SAINT PAUL, MN 55108-1737
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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