Individual
ROBERT KISTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1806 IVY AVE E, SAINT PAUL, MN 55119-4522
(612) 978-3030
Mailing address
1806 IVY AVE E, SAINT PAUL, MN 55119-4522
(612) 978-3030
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
2199
MN
Other
Enumeration date
11/16/2013
Last updated
11/16/2013
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