Individual
RICHARD FRED KIESEL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPCC
Contact information
Practice address
5200 WILLSON RD STE 215, EDINA, MN 55424-1316
(218) 969-1398
Mailing address
18481 BASSWOOD BEACH DR NW, EVANSVILLE, MN 56326-4564
(218) 969-1398
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC05559
MN
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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