Individual
MS. KAREN ILVEDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
249 WATER ST RM 202, EXCELSIOR, MN 55331-1824
(612) 710-3874
Mailing address
5385 SHADY HILLS CIR, EXCELSIOR, MN 55331-9157
(612) 710-3874
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC02123
MN
Other
Enumeration date
05/27/2019
Last updated
06/03/2019
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