Individual provider · Type 1 NPI

Mary Therese Kolles, MA, PRP

Mental Health Counselor · Minneapolis, MN

NPI number 1821187543 Active

Practice location

1313 5th St SE
Minneapolis, MN 55414-4504

Call (612) 435-7210 Map

Fax (612) 435-7201

Mailing address

1049 Glen Paul Ct
Shoreview, MN 55126-8114

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X171613 (MN)

Mental Health Counselor: Definition to come...

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About NPI 1821187543

Mary Therese Kolles, MA, PRP's National Provider Identifier is 1821187543, issued on Oct 12, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Minneapolis, MN. The record was last updated on Jul 8, 2007.