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Individual

KEVIN YINGLING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPS, LADC, LPCC

Contact information

Practice address
1404 CENTRAL AVE NE, MINNEAPOLIS, MN 55413-1517
(612) 767-0315
Mailing address
1404 CENTRAL AVE NE, MINNEAPOLIS, MN 55413-1517
(612) 767-0315

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
305561
MN
101YM0800X
Mental Health Counselor
Primary
CC03862
MN

Other

Enumeration date
11/13/2020
Last updated
08/01/2023
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