Individual
MR. KYLE LOUIS PELTOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., LPCC
Contact information
Practice address
402 UNIVERSITY AVE E, SAINT PAUL, MN 55130-4400
(651) 587-1292
Mailing address
202 MCBOAL ST, SAINT PAUL, MN 55102-2723
(507) 626-0500
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC01965
MN
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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