Individual provider · Type 1 NPI

Catherine Disterhaupt, LPCC

Professional Counselor · Brainerd, MN

NPI number 1356804462 Active

Practice location

823 Maple St
Brainerd, MN 56401-3770

Fax (218) 454-1024

Mailing address

410 E River Rd Apt 212
Brainerd, MN 56401-3599

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XCC02097 (MN)

Professional Counselor: Definition to come...

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About NPI 1356804462

Catherine Disterhaupt, LPCC's National Provider Identifier is 1356804462, issued on Apr 8, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Brainerd, MN. The record was last updated on Apr 8, 2019.