Individual
KRISTINE MARIE ROTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
425 20TH AVE S, MINNEAPOLIS, MN 55454-4400
(612) 332-4973
Mailing address
425 20TH AVE S, MINNEAPOLIS, MN 55454-4400
(612) 332-4973
(612) 238-3534
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
21360
MN
1041C0700X
Clinical Social Worker
Primary
21360
MN
Other
Enumeration date
09/02/2021
Last updated
01/29/2025
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