Individual
CATHERINE DISTERHAUPT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
823 MAPLE ST, BRAINERD, MN 56401-3770
(218) 454-3826
(218) 454-1024
Mailing address
410 E RIVER RD APT 212, BRAINERD, MN 56401-3599
(701) 793-3772
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC02097
MN
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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