Individual
KATELYN MACIEJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LADC, LPCC
Contact information
Practice address
324 W SUPERIOR ST BLDG SUITE620, DULUTH, MN 55802-1701
(218) 606-1797
Mailing address
324 W SUPERIOR ST BLDG SUITE620, DULUTH, MN 55802-1701
(218) 606-1797
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304287
MN
101YP2500X
Professional Counselor
Primary
CC02177
MN
Other
Enumeration date
08/08/2019
Last updated
08/02/2023
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