Individual
MR. KYLE J SLAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC, LADC
Contact information
Practice address
7301 OHMS LN STE 450, EDINA, MN 55439-2339
(952) 831-2000
Mailing address
7301 OHMS LN STE 450, EDINA, MN 55439-2339
(952) 831-2000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
305543
MN
101YP2500X
Professional Counselor
Primary
4137
MN
Other
Enumeration date
04/12/2024
Last updated
04/12/2024
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