Individual
SAMANTHA MONIKA MITRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
1155 NORTHLAND DR, MENDOTA HEIGHTS, MN 55120-1288
(612) 223-8898
Mailing address
1155 NORTHLAND DR, MENDOTA HEIGHTS, MN 55120-1288
(612) 223-8898
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
8041
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/13/2021
Last updated
11/03/2023
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