Individual
MAYA MINEOI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
393 DUNLAP ST N, SAINT PAUL, MN 55104-4200
(419) 855-2629
Mailing address
1589 1/2 SELBY AVE APT 5, SAINT PAUL, MN 55104-7545
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/04/2019
Last updated
11/25/2024
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