Individual
AMANDA KATHERINE YOUNGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPCC
Contact information
Practice address
1428 RAYMOND DR, WACONIA, MN 55387-4402
(952) 247-1316
Mailing address
PO BOX 591, WACONIA, MN 55387-0591
(952) 247-1316
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC01110
MN
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
06/02/2013
Last updated
04/13/2022
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