Individual
KRISTINE THIELEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7400 METRO BLVD STE 427, EDINA, MN 55439-2359
(866) 822-7464
Mailing address
17079 MUSHTOWN RD, PRIOR LAKE, MN 55372-2977
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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