Individual provider · Type 1 NPI

Alysha Kvam

Mental Health Counselor · Maple Grove, MN

NPI number 1033849591 Active

Practice location

12918 63rd Ave N
Maple Grove, MN 55369-6001

Call (763) 210-9966 Map

Mailing address

7200 Willow Dr
Corcoran, MN 55340-9717

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1033849591

Alysha Kvam's National Provider Identifier is 1033849591, issued on Jun 15, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Maple Grove, MN. The record was last updated on Jun 15, 2022.