Individual
MELISSA KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7601 WAYZATA BLVD, ST LOUIS PARK, MN 55426-1623
(612) 286-0857
Mailing address
8927 SYNDICATE AVE APT 329, CIRCLE PINES, MN 55014-3783
(612) 669-3881
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/07/2021
Last updated
04/23/2024
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