Individual
LAUREL ANAE KIMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPS, LADC
Contact information
Practice address
18140 ZANE ST NW PMB311, ELK RIVER, MN 55330
(612) 293-0427
Mailing address
18140 ZANE ST NW PMB311, ELK RIVER, MN 55330
(612) 293-0427
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305490
MN
Other
Enumeration date
02/04/2020
Last updated
07/03/2024
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