Individual
DR. MISCHELLE LOUISE VIETANEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2002 CROMWELL, GRAND RAPIDS, MN 55744-3571
(218) 398-3502
(218) 326-4390
Mailing address
2002 CROMELL DRIVE, LAPRAIRIE, MN 55744
(218) 398-3502
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5574
MN
Other
Enumeration date
08/22/2013
Last updated
04/12/2017
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