Individual provider · Type 1 NPI
Carla Jean Kannenberg
Mental Health Counselor · St. Cloud, MN
NPI number
1649402363
Active
Practice location
1321 13th St N
St. Cloud, MN 56303-2613
Fax (320) 203-1855
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1649402363
Carla Jean Kannenberg's National Provider Identifier is 1649402363, issued on Aug 13, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Cloud, MN. The record was last updated on Aug 13, 2009.