Individual
MARISA VAPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
631 BUCHANAN ST NE, MINNEAPOLIS, MN 55413-2519
(612) 251-7288
Mailing address
631 BUCHANAN ST NE, MINNEAPOLIS, MN 55413-2519
(612) 251-7288
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MN
Other
Enumeration date
11/17/2023
Last updated
11/17/2023
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