Individual
KATELYN MAGNAN IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
299 COON RAPIDS BLVD NW STE 100, COON RAPIDS, MN 55433-5869
(651) 240-2206
(612) 446-5766
Mailing address
5730 EMERSON AVE N, BROOKLYN CENTER, MN 55430-2657
(763) 516-0535
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5145
MN
Other
Enumeration date
01/18/2023
Last updated
03/02/2026
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