Individual
BRYAN J KINGSRITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW,LMFT
Contact information
Practice address
6550 YORK AVE S, SUITE 503, EDINA, MN 55435-2347
(952) 929-3103
Mailing address
1236 VICTORIA ST N, SAINT PAUL, MN 55117-4033
(651) 647-1900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12105
MN
106H00000X
Marriage & Family Therapist
106
MN
Other
Enumeration date
09/13/2006
Last updated
09/11/2025
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