Individual
KATHLEEN DIANE KONGSJORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
11600 STATE AVE, BRAINERD, MN 56401-7306
(218) 454-8919
Mailing address
7038 REMINGTON WAY, BRAINERD, MN 56401-6397
(121) 825-6311
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4477
MN
Other
Enumeration date
07/08/2024
Last updated
08/30/2024
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