Individual
EMMA ROSE KOSCIOLEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3325
(612) 728-5399
Mailing address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3325
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
01876
MN
101YP2500X
Professional Counselor
01876
MN
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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