Individual
KATHERINE ANN OMLID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1321 13TH ST N, SAINT CLOUD, MN 56303-2613
(320) 202-2006
(320) 203-1855
Mailing address
1321 13TH ST N, SAINT CLOUD, MN 56303-2614
(320) 202-2006
(320) 203-1855
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
302291
MN
Other
Enumeration date
12/14/2006
Last updated
09/13/2011
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