Individual
BETH VAN KAMPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
7000 57TH AVE N STE 100, CRYSTAL, MN 55428-3479
(612) 752-8326
Mailing address
7000 57TH AVE N STE 100, CRYSTAL, MN 55428-3479
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC01518
MN
Other
Enumeration date
06/30/2017
Last updated
06/30/2017
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