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Individual

KRISTA L SCHAEFER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LAMFT, LADC

Contact information

Practice address
2736 HENNEPIN AVE, MINNEAPOLIS, MN 55408-1037
(763) 744-8944
Mailing address
2736 HENNEPIN AVE, MINNEAPOLIS, MN 55408-1037
(763) 744-8944

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303692
MN
101YM0800X
Mental Health Counselor
3658
MN

Other

Enumeration date
08/15/2018
Last updated
08/15/2018
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