Individual
KARI FONSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LADC
Contact information
Practice address
1919 UNIVERSITY AVE W, 200, SAINT PAUL, MN 55104-3453
(651) 266-7931
(651) 266-7850
Mailing address
1919 UNIVERSITY AVE W, 200, SAINT PAUL, MN 55104-3453
(651) 266-7931
(651) 266-7850
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
1439
MN
101YA0400X
Addiction (Substance Use Disorder) Counselor
302918
MN
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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