Individual
MS. KERRY ROSE TOOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1900 CHICAGO AVE, MINNEAPOLIS, MN 55404-1903
(612) 752-8090
Mailing address
1900 CHICAGO AVE, MINNEAPOLIS, MN 55404-1903
(612) 752-8090
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2113
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
MN
Enumeration date
07/15/2019
Last updated
07/15/2019
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