Individual
KIMBERLY KAY SCHAEFBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, LPCC
Contact information
Practice address
823 MAPLE ST, BRAINERD, MN 56401-3770
(218) 829-3235
Mailing address
1906 5TH AVE SE, PO BOX 367, LITTLE FALLS, MN 56345-3317
(320) 632-6647
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC01293
MN
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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