Individual
KARA HYDUKOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC, LADC
Contact information
Practice address
7200 FORESTVIEW LN N, MAPLE GROVE, MN 55369-5571
(763) 200-1466
Mailing address
7200 FORESTVIEW LN N, MAPLE GROVE, MN 55369-5571
(763) 200-1466
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303374
MN
101YP2500X
Professional Counselor
Primary
01850
MN
Other
Enumeration date
09/05/2019
Last updated
09/30/2019
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