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Kyle Christianson
Peer Specialist in Moorhead, Minnesota
NPI 1164186813

Kyle Christianson is a Peer Specialist based in Moorhead, MN. Kyle Christianson practices in Moorhead, MN. The NPI Number for Kyle Christianson is 1164186813 and holds a License No. 8354 (Minnesota).

The current practice location address for Kyle Christianson is 1401 8Th St S # 3, Moorhead, MN and can be reached out via phone at 701-261-7694.

Location: 1401 8Th St S # 3, Moorhead, MN, 56560-3606
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164186813
Provider Name
Kyle Christianson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1401 8Th St S # 3, Moorhead, MN, 56560-3606
Phone Number
701-261-7694
Fax Number
Provider Enumeration Date
10/28/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1401 8Th St S # 3
City
Moorhead
State
Minnesota
Zip
56560-3606
Phone Number
701-261-7694
Fax Number
person
Provider Business Mailing Address Details
Address
1401 8Th St S # 3
City
Moorhead
State
Minnesota
Zip
56560-3606
Phone Number
701-261-7694
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
8354 (Minnesota)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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