Individual
KIMBERLE ST. MANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LADC
Contact information
Practice address
3808 GRAND AVE S, MINNEAPOLIS, MN 55409-1233
(612) 237-6311
Mailing address
2772 AUTUMNWOOD LN, MINNETONKA, MN 55305-3486
(612) 237-6311
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4419
MN
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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