Individual provider · Type 1 NPI

Kathleen Paige Gullo

Mental Health Counselor · Plymouth, MN

NPI number 1982776555 Active

Practice location

12805 Highway 55, Suite 211
Plymouth, MN 55441-3859

Fax (763) 559-2118

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1982776555

Kathleen Paige Gullo's National Provider Identifier is 1982776555, issued on Nov 15, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Plymouth, MN. The record was last updated on Jul 8, 2007.