Individual provider · Type 1 NPI

Courtney Ketola

Mental Health Counselor · Woodbury, MN

NPI number 1881363547 Active

Practice location

700 Commerce Dr Ste 255
Woodbury, MN 55125-5406

Call (651) 714-3848 Map

Mailing address

180 Kellogg Blvd E Apt 1312
St. Paul, MN 55101-1591

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1881363547

Courtney Ketola's National Provider Identifier is 1881363547, issued on Sep 7, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Woodbury, MN. The record was last updated on Sep 7, 2021.