Individual
MS. MELISSA ANN BOLLINGER-KINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.ED LPC
Contact information
Practice address
3021 HARBOR LN N STE 206, PLYMOUTH, MN 55447-5120
(763) 559-1640
(763) 559-1617
Mailing address
6369 POLARIS LN N, MAPLE GROVE, MN 55311-3938
(612) 508-7115
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
226
MN
103TC1900X
Counseling Psychologist
—
—
Other
Enumeration date
01/04/2007
Last updated
10/25/2018
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