Cloutier, Kyle Gregory

Cloutier, Kyle Gregory is an sole proprietor health care provider with primary practice located at 1120 Centre Pointe Dr Ste 100 #100, Mendota Heights MN 55120-1275. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Cloutier, Kyle Gregory can be contacted via phone (952) 334-8278.

Contact Information

Primary practice address
1120 Centre Pointe Dr Ste 100 #100 Mendota Heights MN 55120-1275
Phone: (952) 334-8278
Fax: (952) 891-4258
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 13976 Minnesota

Profile Details

NPI number 1871646216
LBN Legal business name Cloutier, Kyle Gregory
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2007
Last updated Jul 24th, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871646216 NPPES
Minnesota Other 505K6CL BLUE CROSS BLUE SHIELD
Minnesota Other 114510 BLUE CROSS BLUE SHIELD
Minnesota Other 556368 BLUE CROSS BLUE SHIELD

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