Organization
CHARLES KALTENBERG L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES KALTENBERG LMFT (PSYCHOTHERAPIST)
(612) 584-9071
Entity
Organization
Contact information
Practice address
7200 HUDSON BLVD N STE 107C, OAKDALE, MN 55128-6301
(612) 584-9071
Mailing address
7200 HUDSON BLVD N STE 107C, OAKDALE, MN 55128-6301
(612) 584-9071
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205352606
NPI 1
MN
Enumeration date
11/08/2019
Last updated
09/16/2020
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