Individual
YASHA ISAAC HORSTMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC, LADC
Contact information
Practice address
680 STEWART AVE, SAINT PAUL, MN 55102-4117
(651) 292-2474
Mailing address
801 JUNO AVE, SAINT PAUL, MN 55102-3821
(612) 227-2577
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3377
MN
Other
Enumeration date
07/20/2022
Last updated
02/19/2024
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