Doten, Kristine A

Doten, Kristine A is an sole proprietor health care provider with primary practice located at 11292 86Th Ave N Ste 106 , Maple Grove MN 55369-4510. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Doten, Kristine A can be contacted via phone (952) 300-5908.

Contact Information

Primary practice address
11292 86Th Ave N Ste 106 Maple Grove MN 55369-4510
Phone: (952) 300-5908
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 01687 Minnesota
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CC01429 Minnesota

Profile Details

NPI number 1700284452
LBN Legal business name Doten, Kristine A
Credentials MA, LPCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2014
Last updated Jun 21st, 2017 - about 9 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 1700284452 NPPES
Minnesota MEDICAID 637688900

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