Individual
KYA RAWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
8550 HUDSON BLVD N, LAKE ELMO, MN 55042-5500
(612) 371-5400
Mailing address
2855 CAMPUS DR STE 660, PLYMOUTH, MN 55441-2665
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
4386
MN
Other
Enumeration date
01/10/2024
Last updated
07/02/2024
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