Individual
MS. KATELYN NICOLE HYDUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LADC
Contact information
Practice address
2415 ANNAPOLIS LN N STE 130, PLYMOUTH, MN 55441-3632
(763) 220-0218
Mailing address
2415 ANNAPOLIS LN N STE 130, PLYMOUTH, MN 55441-3632
(763) 220-0218
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304407
MN
101YM0800X
Mental Health Counselor
Primary
02662
MN
Other
Enumeration date
04/05/2021
Last updated
06/01/2022
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