Individual
MADELEINE COULTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2724 UNIVERSITY AVE SE UNIT B, MINNEAPOLIS, MN 55414-3210
(612) 299-1090
Mailing address
3029 FRANCE AVE S APT 307, MINNEAPOLIS, MN 55416-4259
(612) 300-5518
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2711
MN
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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