Individual
ALICIA ANN EXSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
1370 MENDOTA HEIGHTS RD, MENDOTA HEIGHTS, MN 55120-1281
(651) 764-7245
(651) 925-0610
Mailing address
1370 MENDOTA HEIGHTS RD, MENDOTA HEIGHTS, MN 55120-1281
(651) 764-7245
(651) 925-0610
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
926
MN
Other
Enumeration date
03/18/2015
Last updated
09/08/2020
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