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Individual

KELSEY BROOKE NOTARO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LPCC

Contact information

Practice address
900 LONG LAKE RD STE 160, NEW BRIGHTON, MN 55112-6414
(612) 706-9630
Mailing address
900 LONG LAKE RD STE 160, NEW BRIGHTON, MN 55112-6414
(612) 706-9630

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC02793
MN
101YM0800X
Mental Health Counselor

Other

Enumeration date
03/10/2021
Last updated
04/19/2021
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