Individual
MR. ISAAC OLIVER CONLON-KVALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPCC
Contact information
Practice address
3133 HENNEPIN AVE, MINNEAPOLIS, MN 55408-2620
(612) 305-8139
Mailing address
4501 ABBOTT AVE S, MINNEAPOLIS, MN 55410-1446
(612) 708-6484
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
4479
MN
Other
Enumeration date
04/15/2022
Last updated
10/31/2024
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