Individual
DANIELLE PALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1100 GLENWOOD AVE, MINNEAPOLIS, MN 55405-1430
(612) 871-1454
Mailing address
1100 GLENWOOD AVE, MINNEAPOLIS, MN 55405-1430
(612) 871-1454
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4041
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T500-205-176-505
DRIVER'S LICENSE
MN
Enumeration date
12/19/2020
Last updated
10/25/2023
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