Individual
KATHLEEN MIKULA LOMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
2550 UNIVERSITY AVE W, SUITE #310, SAINT PAUL, MN 55114-1052
(651) 379-5157
Mailing address
2550 UNIVERSITY AVE W, SUITE #310, SAINT PAUL, MN 55114-1052
(651) 379-5157
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1295
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295
MN LICENSE NUMBER LMFT
MN
Enumeration date
10/10/2007
Last updated
10/10/2007
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