Individual provider · Type 1 NPI
Kristine Lee Edstrom, LPCC
Professional Counselor · Virginia, MN
NPI number
1225679053
Active
Practice location
504 S 2nd Ave
Virginia, MN 55792
Mailing address
PO Box 498
Biwabik, MN 55708-0498
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 2875 (MN) |
Professional Counselor: Definition to come...
2 other providers at this address
Other professional counselor providers in Virginia
About NPI 1225679053
Kristine Lee Edstrom, LPCC's National Provider Identifier is 1225679053, issued on Oct 2, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Virginia, MN. The record was last updated on May 31, 2022.