Individual
DR. KATHLEEN ISTRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD LP
Contact information
Practice address
640 ATLANTIC AVE, COUNSELING ASSOCIATES, BENSON, MN 56215-1381
(320) 843-3454
Mailing address
1003 16TH ST NE, #2, WILLMAR, MN 56201-2156
(320) 894-0955
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
LP3914
MN
103TC0700X
Clinical Psychologist
Primary
LP3914
MN
Other
Enumeration date
12/12/2006
Last updated
11/26/2007
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