Individual
KAYLA MARIE PEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC, RPT
Contact information
Practice address
3208 HENNEPIN AVE, MINNEAPOLIS, MN 55408-3447
(612) 979-2276
Mailing address
3208 HENNEPIN AVE, MINNEAPOLIS, MN 55408-3447
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3603
MN
Other
Enumeration date
12/07/2022
Last updated
12/11/2023
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