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Samantha Monika Mitra, MA,LPCC
Professional Counselor in Mendota Heights, Minnesota
NPI 1871255182

Samantha Monika Mitra is a Professional Counselor based in Mendota Heights, MN and is specialized in Professional. Samantha Monika Mitra practices in Mendota Heights, MN and has the professional credentials of MA,LPCC. The NPI Number for Samantha Monika Mitra is 1871255182 and holds a License No. (Minnesota).

The current practice location address for Samantha Monika Mitra is 1155 Northland Dr, Mendota Heights, MN and can be reached out via phone at 612-223-8898.

Location: 1155 Northland Dr, Mendota Heights, MN, 55120-1288
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871255182
Provider Name
Samantha Monika Mitra
Credential
MA,LPCC
Provider Entity Type
Individual
Gender
Female
Address
1155 Northland Dr, Mendota Heights, MN, 55120-1288
Phone Number
612-223-8898
Fax Number
Provider Enumeration Date
10/13/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1155 Northland Dr
City
Mendota Heights
State
Minnesota
Zip
55120-1288
Phone Number
612-223-8898
Fax Number
person
Provider Business Mailing Address Details
Address
1155 Northland Dr
City
Mendota Heights
State
Minnesota
Zip
55120-1288
Phone Number
612-223-8898
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
8041 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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