Individual
MINDY LEIGH ANTIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
8640 EAGLE CREEK CIR, SAVAGE, MN 55378-4400
(952) 746-7664
Mailing address
8640 EAGLE CREEK CIR, SAVAGE, MN 55378-4400
(952) 746-7664
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC02200
MN
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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