Individual
ARUNDATHI RAGHAVENDRA RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
11660 ROUND LAKE BLVD NW, COON RAPIDS, MN 55433-2638
(763) 767-3350
Mailing address
11660 ROUND LAKE BLVD NW, COON RAPIDS, MN 55433-2638
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC01944
MN
103TC0700X
Clinical Psychologist
CC01944
MN
Other
Enumeration date
10/03/2018
Last updated
02/03/2023
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