Individual
KAILA PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
3033 EXCELSIOR BLVD STE 215, MINNEAPOLIS, MN 55416-5274
(651) 456-8396
Mailing address
2715 LONGACRES DR, CHANHASSEN, MN 55317-7557
(763) 458-5756
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
01887
MN
Other
Enumeration date
11/21/2017
Last updated
10/30/2025
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