Organization
KALA COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERINN JAGIELA LADC (AUTHORIZED OFFICIAL)
(952) 447-4344
Entity
Organization
Contact information
Practice address
4769 DAKOTA ST SE, SUITE 2, PRIOR LAKE, MN 55372-1797
(952) 447-4344
Mailing address
4769 DAKOTA ST SE, SUITE 2, PRIOR LAKE, MN 55372-1797
(952) 447-4344
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302795
MN
Other
Enumeration date
05/03/2011
Last updated
05/03/2011
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