Organization
PURE POTENTIAL COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE SUE DEREGNIER M.ED. (LPCC)
(507) 210-6898
Entity
Organization
Contact information
Practice address
18685 DYLAN DR, FARMINGTON, MN 55024-7070
(507) 210-6898
Mailing address
18685 DYLAN DR, FARMINGTON, MN 55024-7070
(507) 210-6898
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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