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Ms. Kathleen Jo Penn, LPCC
Mental Health Counselor in White Bear Lake, Minnesota
NPI 1215787338

Kathleen Jo Penn is a Mental Health Counselor based in Hugo, MN and is specialized in Mental Health. Kathleen Jo Penn practices in White Bear Lake, MN and has the professional credentials of LPCC. The NPI Number for Kathleen Jo Penn is 1215787338 and holds a License No. CC04005 (Minnesota).

The current practice location address for Kathleen Jo Penn is 4710 White Bear Pkwy, White Bear Lake, MN and can be reached out via phone at 651-443-9290.

Location: 4710 White Bear Pkwy, White Bear Lake, MN, 55038-8200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215787338
Provider Name
Kathleen Jo Penn
Credential
LPCC
Provider Entity Type
Individual
Gender
Female
Address
4710 White Bear Pkwy, White Bear Lake, MN, 55038-8200
Phone Number
651-443-9290
Fax Number
Provider Enumeration Date
03/22/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
4710 White Bear Pkwy
City
White Bear Lake
State
Minnesota
Zip
55110-3485
Phone Number
651-443-9290
Fax Number
person
Provider Business Mailing Address Details
Address
4710 White Bear Pkwy
City
White Bear Lake
State
Minnesota
Zip
55110-3485
Phone Number
651-443-9290
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
CC04005 (Minnesota)
Definition
Definition to come...
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