Individual
KRISTIN FIEDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9220 BASS LAKE RD STE 255, NEW HOPE, MN 55428-3019
(763) 255-4052
Mailing address
9220 BASS LAKE RD STE 255, NEW HOPE, MN 55428-3019
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC01737
MN
Other
Enumeration date
03/15/2018
Last updated
03/15/2018
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