Individual
ALEXIS KITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
1529 121ST AVE NW, COON RAPIDS, MN 55448-1949
(612) 501-3918
Mailing address
1529 121ST AVE NW, COON RAPIDS, MN 55448-1949
(763) 353-0589
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306906
MN
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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