Individual
LYNDA IGLESIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1150 MONTREAL AVE STE 107, SAINT PAUL, MN 55116-2393
(651) 313-8080
Mailing address
14747 ENDICOTT WAY, APPLE VALLEY, MN 55124-6340
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC04076
MN
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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