Individual provider · Type 1 NPI

Kristin Southworth

Mental Health Counselor · Plymouth, MN

NPI number 1962040469 Active

Practice location

18205 45th Ave N Ste C
Plymouth, MN 55446-4594

Call (651) 478-4099 Map

Mailing address

868 Carroll Ave
St. Paul, MN 55104-5411

Other practice locations

  • 2724 University Ave SE, Minneapolis, MN 55414-3210 · (612) 299-1090

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X2296 (MN)

Mental Health Counselor: Definition to come...

2 other providers at this address

Other mental health counselor providers in Plymouth

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About NPI 1962040469

Kristin Southworth's National Provider Identifier is 1962040469, issued on Dec 16, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Plymouth, MN. The record was last updated on Jan 6, 2023.