Individual
KATHRYN MARIE PILQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1404 CENTRAL AVE NE, MINNEAPOLIS, MN 55413-1517
(651) 323-7297
Mailing address
1065 SELBY AVE APT 7, SAINT PAUL, MN 55104-6579
(651) 323-7297
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
305093
MN
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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