Individual
KRISTINE E VALDIVIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2920 BRYANT AVE. SUITE #4, MPLS., MN 55408
(651) 895-2045
Mailing address
15875 FOLIAGE AVE., APPLE VALLEY, MN 55124
(651) 895-2045
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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