Individual
KRISTINA NMN ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
900 LONG LAKE RD STE 160, NEW BRIGHTON, MN 55112-6414
(612) 767-4824
Mailing address
290 MARKET ST UNIT 416, MINNEAPOLIS, MN 55405-1683
(920) 606-9621
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC03427
MN
Other
Enumeration date
07/28/2022
Last updated
07/28/2022
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