Individual
KRISTEN LISSETTE VISCARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3548 BRYANT AVE S, MINNEAPOLIS, MN 55408-4119
(612) 822-8227
Mailing address
703 CENTRAL AVE NE APT A, MINNEAPOLIS, MN 55414-1102
(602) 432-4066
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YS0200X
School Counselor
1031410
MN
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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