Individual
KRYSIA LEA WEIDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3231 1ST AVE S, MINNEAPOLIS, MN 55408-4407
(612) 373-3366
Mailing address
740 E 24TH ST, MINNEAPOLIS, MN 55404-3862
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2572
MN
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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