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Individual

KELLY CIAPETTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPCC

Contact information

Practice address
4756 BANNING AVE STE 215, WHITE BEAR LAKE, MN 55110-3206
(330) 495-2736
Mailing address
4756 BANNING AVE STE 215, WHITE BEAR LAKE, MN 55110-3206
(330) 495-2736

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
001696
MN
101YM0800X
Mental Health Counselor
Primary
CC01696
MN

Other

Enumeration date
10/31/2018
Last updated
02/26/2025
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