Individual
KATELYN SOFIA YLINIEMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
5354 42ND ST S STE B, FARGO, ND 58104-4032
(701) 501-8014
(701) 941-4504
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1213-7-1-22-603
ND
101YM0800X
Mental Health Counselor
1213-7-1-22A
ND
Other
Enumeration date
11/08/2022
Last updated
10/23/2024
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