Individual
BRITTNI AMANDA INGVALDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17645 JUNIPER PATH STE 105, LAKEVILLE, MN 55044-7491
(952) 600-8191
Mailing address
5241 LINCOLN DR APT 113, EDINA, MN 55436-2701
(507) 363-1672
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304240
MN
101YP2500X
Professional Counselor
Primary
04654
MN
Other
Enumeration date
08/08/2021
Last updated
12/06/2024
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