Individual
SANTRIELLE CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3031 EWING AVE S APT 156, MINNEAPOLIS, MN 55416-4285
(210) 468-9517
Mailing address
3031 EWING AVE S APT 156, MINNEAPOLIS, MN 55416-4285
(210) 468-9517
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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