Individual
COURTNEY KETOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 COMMERCE DR STE 255, WOODBURY, MN 55125-5406
(651) 714-3848
Mailing address
180 KELLOGG BLVD E APT 1312, SAINT PAUL, MN 55101-1591
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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