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Individual

MRS. KRISTEN MATH X

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, LPCC

Contact information

Practice address
600 25TH AVE S STE 104, SAINT CLOUD, MN 56301-4820
(320) 217-2584
Mailing address
1603 PEBBLE CREEK DR, SARTELL, MN 56377-4538
(320) 492-4582

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2229
MN
103TC1900X
Counseling Psychologist
Primary
CC02229
MN

Other

Enumeration date
04/27/2020
Last updated
07/22/2025
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