Individual
ALYSSA ROSE KITTLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
15265 CARROUSEL WAY, ROSEMOUNT, MN 55068-1760
(952) 443-4600
Mailing address
15265 CARROUSEL WAY, ROSEMOUNT, MN 55068-1760
(952) 443-4600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
306197
MN
1041C0700X
Clinical Social Worker
Primary
30116
MN
Other
Enumeration date
10/03/2022
Last updated
02/20/2024
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