Individual
MIRANDA KAY PAULSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPS, LADC, LPCC
Contact information
Practice address
20 3RD ST NE, AITKIN, MN 56431-1422
(218) 326-1274
Mailing address
43747 250TH STREET, AITKIN, MN 56431
(218) 251-3719
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304409
MN
101YP2500X
Professional Counselor
Primary
1816
MN
Other
Enumeration date
01/25/2016
Last updated
03/12/2025
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