Individual
KATHLEEN NORTH KLEVESAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
4432 CHICAGO AVE, MINNEAPOLIS, MN 55407-3519
(612) 870-2456
Mailing address
15198 LESLEY LN, EDEN PRAIRIE, MN 55346-2533
(952) 934-7300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301930
MN
Other
Enumeration date
10/29/2009
Last updated
10/29/2009
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