Individual
KAU MACADOR QUEEGLAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LADC
Contact information
Practice address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 520-5200
Mailing address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 520-5200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304601
MN
101YM0800X
Mental Health Counselor
Primary
2085
MN
101YP2500X
Professional Counselor
2085
MN
Other
Enumeration date
04/18/2019
Last updated
01/30/2024
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