Individual provider · Type 1 NPI

Kaila Park, LPCC

Professional Counselor · Minneapolis, MN

NPI number 1114431558 Active

Practice location

3033 Excelsior Blvd Ste 215
Minneapolis, MN 55416-5274

Mailing address

2715 Longacres Dr
Chanhassen, MN 55317-7557

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X01887 (MN)

Professional Counselor: Definition to come...

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About NPI 1114431558

Kaila Park, LPCC's National Provider Identifier is 1114431558, issued on Nov 21, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Minneapolis, MN. The record was last updated on Oct 30, 2025.