Individual
KRISTIN MARIE ANTIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, DMIN, LPCC
Contact information
Practice address
1403 SILVER LAKE RD NW STE 2, NEW BRIGHTON, MN 55112-9308
(320) 444-1774
Mailing address
851 8TH AVE NW, NEW BRIGHTON, MN 55112-2704
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
02071
MN
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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