Individual
KAYLA SEIDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC, LPCC
Contact information
Practice address
3701 12TH ST N, SAINT CLOUD, MN 56303-2255
(320) 229-3760
Mailing address
3701 12TH ST N, SAINT CLOUD, MN 56303-2255
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
305707
MN
101YM0800X
Mental Health Counselor
Primary
CC03837
MN
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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