Individual
KRISTINA BRAATEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, LPCC, LADC
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 273-8383
Mailing address
201 WINDSOR CT, NEW BRIGHTON, MN 55112-3367
(715) 651-3125
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
305602
MN
101YM0800X
Mental Health Counselor
Primary
CC03297
MN
101YP2500X
Professional Counselor
CC03297
MN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
61967
MN
Other
Enumeration date
10/26/2005
Last updated
08/28/2025
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