Individual
ABBEY PAULINE GILLER RATHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
3340 REPUBLIC AVE STE 110, ST LOUIS PARK, MN 55426-4189
(952) 209-1510
Mailing address
17661 69TH PL N, MAPLE GROVE, MN 55311-3027
(402) 630-6124
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3028
MN
101YP2500X
Professional Counselor
Primary
3028
MN
Other
Enumeration date
10/01/2021
Last updated
03/25/2024
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