Individual
MS. M. KATHARINE MARSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. L.A.D.C.
Contact information
Practice address
4601 EXCELSIOR BLVD, SUITE 507A, ST LOUIS PARK, MN 55416-4960
(952) 220-9712
Mailing address
15624 WING LAKE DR, MINNETONKA, MN 55345-5649
(952) 928-4866
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302037
MN
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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