Individual
KIM CONTARDI PAREIGAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LP
Contact information
Practice address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 628-9566
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP1110
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124530
UCARE
—
01
—
187725
VALUE OPTIONS
—
01
—
191026
MAGO MANAGEMENT
—
01
—
6229339
MEDICAL SELECT CARE
—
05
—
875750000
—
MN
01
—
990991000193
PREFERRED ONE
—
01
—
9L834PA
BCBS BLUE PLUS
—
Enumeration date
11/18/2005
Last updated
03/26/2018
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