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Individual

RYLEE ALYSANDER RAE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
7203 PERRY CT E, BROOKLYN CENTER, MN 55429-1202
(929) 888-7267
Mailing address
4014 GREEN HEIGHTS TRL SE, PRIOR LAKE, MN 55372-2450
(612) 718-1970

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC03513
MN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
01/12/2018
Last updated
10/11/2022
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