Individual
KAHLYNN MARIE LOOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
1306 MARSHALL ST, SAINT PETER, MN 56082-4500
(507) 931-8040
(507) 931-8060
Mailing address
1306 MARSHALL ST, SAINT PETER, MN 56082-4500
(507) 931-8040
(507) 931-8060
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC01972
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC01972
LPCC
MN
Enumeration date
11/29/2018
Last updated
09/01/2021
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