Individual
LISA KLEINGARN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
6542 REGENCY LN, SUITE 201, EDEN PRAIRIE, MN 55344-7847
(612) 400-7832
Mailing address
5224 17TH AVE S, MINNEAPOLIS, MN 55417-1851
(612) 598-0087
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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