Individual
LISA KENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13100 WAYZATA BLVD STE 200, MINNETONKA, MN 55305-1810
(952) 206-2040
(952) 206-2041
Mailing address
7525 MITCHELL RD, STE 100, EDEN PRAIRIE, MN 55344-1959
(952) 224-2282
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
2182
MN
Other
Enumeration date
01/22/2015
Last updated
11/26/2019
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