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Kristine Lee Edstrom, LPCC
Professional Counselor in Virginia, Minnesota
NPI 1225679053

Kristine Lee Edstrom is a Professional Counselor based in Biwabik, MN and is specialized in Professional. Kristine Lee Edstrom practices in Virginia, MN and has the professional credentials of LPCC. The NPI Number for Kristine Lee Edstrom is 1225679053 and holds a License No. 2875 (Minnesota).

The current practice location address for Kristine Lee Edstrom is 504 S 2Nd Ave, Virginia, MN and can be reached out via phone at 218-212-5700.

Location: 504 S 2Nd Ave, Virginia, MN, 55708-0498
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225679053
Provider Name
Kristine Lee Edstrom
Credential
LPCC
Provider Entity Type
Individual
Gender
Female
Address
504 S 2Nd Ave, Virginia, MN, 55708-0498
Phone Number
218-212-5700
Fax Number
Provider Enumeration Date
10/02/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2875 01 MN MN BOARD OF BEHAVIORAL HEALTH AND THERAPY
institution
Provider Business Practice Location Address Details
Address
504 S 2Nd Ave
City
Virginia
State
Minnesota
Zip
55792
Phone Number
218-212-5700
Fax Number
person
Provider Business Mailing Address Details
Address
504 S 2Nd Ave
City
Virginia
State
Minnesota
Zip
55792
Phone Number
218-212-5700
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
2875 (Minnesota)
Definition
Definition to come...
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