Individual
VANNARY VANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPS, LPCC, LADC
Contact information
Practice address
6600 FRANCE AVE S STE 230, EDINA, MN 55435-1810
(952) 460-9021
Mailing address
6600 FRANCE AVE S STE 230, EDINA, MN 55435-1810
(507) 412-9998
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4099
MN
Other
Enumeration date
11/08/2023
Last updated
05/06/2024
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