Mariah, Katelyn

Mariah, Katelyn is an sole proprietor health care provider with primary practice located at 7600 Boone Ave N , Brooklyn Park MN 55428-4563. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mariah, Katelyn can be contacted via phone (763) 515-2452.

Contact Information

Primary practice address
7600 Boone Ave N Brooklyn Park MN 55428-4563
Phone: (763) 515-2452
Fax: (763) 515-2442
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 07301 Minnesota

Profile Details

NPI number 1063579936
LBN Legal business name Mariah, Katelyn
Credentials M.A, LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers