Individual
MRS. TALA MARIE CIATTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
7945 STONE CREEK DR STE 140, CHANHASSEN, MN 55317-4606
(952) 974-3999
Mailing address
7945 STONE CREEK DR STE 140, CHANHASSEN, MN 55317-4606
(952) 974-3999
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1389
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1389
MN BOARD OF BEHAVIORAL HEALTH AND THERAPY LICENSE #
MN
Enumeration date
09/18/2017
Last updated
07/21/2022
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