Individual
KATIE BEEDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11870 ULYSSES ST NE STE 200, BLAINE, MN 55434-4193
(763) 482-9598
Mailing address
2118 BLAISDELL AVE, MINNEAPOLIS, MN 55404-2415
(612) 872-0727
(612) 872-8855
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304237
MN
101YM0800X
Mental Health Counselor
2083
MN
Other
Enumeration date
10/07/2020
Last updated
03/21/2023
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