Individual
MS. MARY THERESE KOLLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, PRP
Contact information
Practice address
1313 5TH ST SE, MINNEAPOLIS, MN 55414-4504
(612) 435-7210
(612) 435-7201
Mailing address
1049 GLEN PAUL CT, SHOREVIEW, MN 55126-8114
(612) 435-7210
(612) 435-7201
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
171613
MN
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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