Individual
KIMBERLY HAYES MALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
400 SIBLEY ST STE 500, SAINT PAUL, MN 55101-1938
(651) 256-1265
Mailing address
1909 SOUTHCROSS DR W APT 1607, BURNSVILLE, MN 55306-7955
(612) 840-7289
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303232
MN
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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