Organization
ADVANCED COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATELYN NICOLE HYDUKE LPCC (PARTNER)
(763) 760-0464
Entity
Organization
Contact information
Practice address
2415 ANNAPOLIS LN N STE 130, PLYMOUTH, MN 55441-3632
(763) 458-6890
Mailing address
2415 ANNAPOLIS LN N STE 130, PLYMOUTH, MN 55441-3632
(763) 486-2768
(763) 645-2581
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
03/10/2022
Last updated
03/01/2023
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