Individual
TRACY KOLENICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
3640 TALMAGE CIRCLE, SUITE 210C, VASNAIS HEIGHTS, MN 85503
(612) 730-1558
Mailing address
4550 VALJEAN BLVD N, HUGO, MN 55038-4630
(612) 730-1558
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3978
MN
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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