Individual provider · Type 1 NPI

Kristine Thielen

Mental Health Counselor · Edina, MN

NPI number 1043866775 Active

Practice location

7400 Metro Blvd Ste 427
Edina, MN 55439-2359

Mailing address

17079 Mushtown Rd
Prior Lake, MN 55372-2977

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1043866775

Kristine Thielen's National Provider Identifier is 1043866775, issued on Aug 19, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Edina, MN. The record was last updated on Aug 19, 2019.