Individual
MARA COYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC ATR
Contact information
Practice address
1856 BEAM AVE STE 200, MAPLEWOOD, MN 55109-1162
(651) 661-6550
(651) 661-6551
Mailing address
1856 BEAM AVE STE 200, MAPLEWOOD, MN 55109-1162
(651) 661-6550
(651) 661-6551
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC02473
MN
Other
Enumeration date
10/17/2020
Last updated
10/17/2020
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