Individual
KATHRYN MORAN MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAMFT
Contact information
Practice address
11660 ROUND LAKE BLVD NW, COON RAPIDS, MN 55433-2638
(763) 767-7883
Mailing address
11660 ROUND LAKE BLVD NW, COON RAPIDS, MN 55433-2638
(763) 767-7883
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
3770
MN
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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