Individual
KALPANA V SANMUGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
3151 124TH AVE NE, BLAINE, MN 55449-6080
(701) 936-0990
Mailing address
3151 124TH AVE NE, BLAINE, MN 55449-6080
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306360
MN
101YM0800X
Mental Health Counselor
61042060
WA
Other
Enumeration date
08/06/2019
Last updated
12/14/2025
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