Individual
ALLYSON BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
MPS, LADC, LPCC
Contact information
Practice address
2960 WINNETKA AVE N STE 101, CRYSTAL, MN 55427-2865
(612) 313-8831
Mailing address
2960 WINNETKA AVE N STE 101, CRYSTAL, MN 55427-2865
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
306348
MN
101YM0800X
Mental Health Counselor
5054
MN
101YP2500X
Professional Counselor
Primary
5054
MN
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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