Individual
REGINA R MULDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
124 TYLER RD S, RED WING, MN 55066-1733
(651) 977-5001
Mailing address
1900 SILVER LAKE RD NW, NEW BRIGHTON, MN 55112-1786
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC 4631
ID
Other
Enumeration date
11/02/2011
Last updated
07/05/2023
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