Organization
COURAGEOUS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAITLYN VALDEZ MA, LPC (OWNER/PRACTIONER)
(612) 279-8503
Entity
Organization
Contact information
Practice address
825 NICOLLET MALL STE 413, MINNEAPOLIS, MN 55402-2606
(612) 279-8503
Mailing address
241 DAYTON AVE APT 1, SAINT PAUL, MN 55102-3398
(612) 279-8503
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568188845
LPC
—
Enumeration date
10/10/2024
Last updated
10/10/2024
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