person
Kristin Southworth
Mental Health Counselor in Plymouth, Minnesota
NPI 1962040469

Kristin Southworth is a Mental Health Counselor based in Saint Paul, MN and is specialized in Mental Health. Kristin Southworth practices in Plymouth, MN. The NPI Number for Kristin Southworth is 1962040469 and holds a License No. 2296 (Minnesota).

The current practice location address for Kristin Southworth is 18205 45Th Ave N Ste C, Plymouth, MN and can be reached out via phone at 651-478-4099.

Location: 18205 45Th Ave N Ste C, Plymouth, MN, 55104-5411
person
Provider Profile Details
NPI Number
1962040469
Provider Name
Kristin Southworth
Credential
Provider Entity Type
Individual
Gender
Female
Address
18205 45Th Ave N Ste C, Plymouth, MN, 55104-5411
Phone Number
651-478-4099
Fax Number
Provider Enumeration Date
12/16/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
18205 45Th Ave N Ste C
City
State
Zip
55446-4594
Phone Number
651-478-4099
Fax Number
person
Provider Business Mailing Address Details
Address
18205 45Th Ave N Ste C
City
State
Zip
55446-4594
Phone Number
651-478-4099
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
2296 (Minnesota)
Definition
Definition to come...
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