Individual
KIRSTEN RUTH KOENTOPF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPCC
Contact information
Practice address
240 SHADY LANE DR, WADENA, MN 56482-3093
(218) 319-6016
(218) 632-6583
Mailing address
55876 PARKWAY DR, PARKERS PRAIRIE, MN 56361-5019
(320) 760-4220
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC01837
MN
Other
Enumeration date
07/02/2018
Last updated
10/20/2025
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