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Individual

ROBERT FROST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA, LPCC, LADC

Contact information

Practice address
155 GLEASON LAKE RD APT 102, WAYZATA, MN 55391-1346
(952) 288-8192
Mailing address
155 GLEASON LAKE RD APT 102, WAYZATA, MN 55391-1346
(952) 288-8192

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
MN

Other

Enumeration date
02/24/2017
Last updated
12/13/2020
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