Individual
KATHERINE JANE FLYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LADC
Contact information
Practice address
5009 EXCELSIOR BLVD STE 134, ST LOUIS PARK, MN 55416-3049
(612) 819-5326
Mailing address
5009 EXCELSIOR BLVD STE 134, ST LOUIS PARK, MN 55416-3049
(612) 819-5326
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
300107
MN
101YP2500X
Professional Counselor
Primary
00065
MN
Other
Enumeration date
11/14/2006
Last updated
05/30/2012
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