Individual
MRS. KAY RENEE TELLINGHUISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1501 XERXES AVE N, MINNEAPOLIS, MN 55411-2851
(612) 721-5551
Mailing address
1501 XERXES AVE N, MINNEAPOLIS, MN 55411-2851
(612) 721-5551
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
300644
MN
Other
Enumeration date
04/02/2009
Last updated
04/02/2009
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