Individual
KYLE EDWARD SUNDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
119 4TH ST S, MOORHEAD, MN 56560-2613
(218) 325-0069
Mailing address
119 4TH ST S, MOORHEAD, MN 56560-2613
(218) 325-0069
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
02713
MN
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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