Individual
KELLY HAASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1360 ENERGY PARK DR STE 340, SAINT PAUL, MN 55108-5298
(651) 646-8985
Mailing address
1360 ENERGY PARK DR, STE 340, SAINT PAUL, MN 55108
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3143
MN
Other
Enumeration date
12/14/2015
Last updated
05/24/2017
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