Individual
KIRSTEN M TCHIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
211 HOLMES ST W STE 302, DETROIT LAKES, MN 56501-9905
(218) 847-0629
(218) 846-1285
Mailing address
211 HOLMES ST W STE 302, DETROIT LAKES, MN 56501-9905
(218) 847-0629
(218) 846-1285
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2717
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2717
MINNESOTA LICENSING BOARD
MN
Enumeration date
01/11/2021
Last updated
01/11/2021
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