Individual
KAYLA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2950 METRO DR STE 200, BLOOMINGTON, MN 55425-1666
(612) 676-1604
Mailing address
2950 METRO DR STE 200, BLOOMINGTON, MN 55425-1666
(612) 676-1604
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4395
MN
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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