Individual
MS. KAITLYN MARIE POMMERENKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5800 AMERICAN BLVD W APT 514, BLOOMINGTON, MN 55437-1488
(952) 693-3493
Mailing address
5800 AMERICAN BLVD W APT 514, BLOOMINGTON, MN 55437-1488
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171400000X
Health & Wellness Coach
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
08/09/2021
Last updated
08/10/2021
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