Individual
TAYLOR KATHERINE WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
1801 AMERICAN BLVD E STE 8, BLOOMINGTON, MN 55425-1230
(952) 767-2267
Mailing address
3210 MANOR DR, GOLDEN VALLEY, MN 55422-3827
(210) 842-9785
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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