Individual
KATELYN R OTTUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8670 210TH ST W, LAKEVILLE, MN 55044-7000
(800) 438-1772
(262) 345-5562
Mailing address
10567 165TH ST W, LAKEVILLE, MN 55044-3523
(952) 767-9374
(555) 380-6638
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
02121
MN
101YP2500X
Professional Counselor
Primary
2289
MN
Other
Enumeration date
03/16/2018
Last updated
03/12/2025
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