Individual
BETHANY S KUNKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
7000 57TH AVE N STE 100, CRYSTAL, MN 55428-3479
(612) 752-8340
Mailing address
7000 57TH AVE N STE 100, CRYSTAL, MN 55428-3479
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
00412
MN
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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