Individual
MS. KRISTEN ELIZABETH KAMPSULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15025 GLAZIER AVENUE, SUITE 240, APPLE VALLEY, MN 55124
(612) 280-5372
(952) 432-1391
Mailing address
15025 GLAZIER AVENUE, STE 240, CREATE SOUTH, APPLE VALLEY, MN 55124
(612) 280-5372
(952) 432-1391
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303302
MN
106H00000X
Marriage & Family Therapist
2675
MN
Other
Enumeration date
09/25/2013
Last updated
09/25/2013
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