Individual
KIMBERLY MARETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPCC
Contact information
Practice address
762 TRANSFER RD STE 116, SAINT PAUL, MN 55114-4506
(651) 659-2900
Mailing address
762 TRANSFER RD STE 116, SAINT PAUL, MN 55114-4506
(651) 659-2900
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
01221
MN
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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