Individual
MS. JULIE KIEKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LMFT
Contact information
Practice address
600 25TH AVE S STE 109, SAINT CLOUD, MN 56301
(320) 255-0343
(320) 654-0318
Mailing address
600 25TH AVE S STE 109, SAINT CLOUD, MN 56301-4820
(320) 255-0343
(320) 654-0318
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1309
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
137137C851
UCARE
—
05
—
335415600
—
MN
01
—
387L3KI
BCBS
—
01
—
922241042558
PREFERRED ONE
—
01
—
HP48615
HEALTH PARTNERS
—
Enumeration date
06/15/2006
Last updated
08/22/2024
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