Healthcare Provider Details

I. General information

NPI: 1518602382
Provider Name (Legal Business Name): KAONOU KATEE VUE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2022
Last Update Date: 03/14/2025
Certification Date: 03/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

749 MILTON ST N
SAINT PAUL MN
55104-1530
US

IV. Provider business mailing address

749 MILTON ST N
SAINT PAUL MN
55104-1530
US

V. Phone/Fax

Practice location:
  • Phone: 507-403-7911
  • Fax:
Mailing address:
  • Phone: 507-403-7911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number305831
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number25541
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: