Individual
KAYLEEN PATRICIA WEVERKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
145 JACOB ST, HAMBURG, MN 55339-9404
(651) 283-8284
Mailing address
145 JACOB ST, HAMBURG, MN 55339-9404
(651) 283-8284
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CC02563
MN
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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