Individual
KATHELEEN AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. LIC PSYCHOLOGIS
Contact information
Practice address
3608 44TH AVE S, KAVILA@INTEGRATIVEMINDFULNESS.COM, MINNEAPOLIS, MN 55406-2906
(612) 872-9231
(612) 722-3306
Mailing address
3608 44TH AVE S, MINNEAPOLIS, MN 55406-2906
(612) 872-9231
(612) 722-3306
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP0449
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
045248300
—
MN
Enumeration date
02/15/2006
Last updated
08/05/2011
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