Individual
DR. KATHRINE CARLSON DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
11252 86TH AVE N, MAPLE GROVE, MN 55369-4510
(763) 237-2053
(763) 416-7871
Mailing address
3851 BUCHANAN ST NE, COLUMBIA HEIGHTS, MN 55421-4018
(763) 706-4153
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1244
MN
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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