Healthcare Provider Details

I. General information

NPI: 1720915978
Provider Name (Legal Business Name): KALEIGH MAIJALA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3737 40TH AVE NW
ROCHESTER MN
55901-1772
US

IV. Provider business mailing address

1648 2ND AVE SE
ROCHESTER MN
55904-7905
US

V. Phone/Fax

Practice location:
  • Phone: 507-316-2299
  • Fax:
Mailing address:
  • Phone: 507-316-2299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: