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General NPI Number Information
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NPI Number | 1649696048
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Entity Type | Individual
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Provider Name | CHRISTINA MARIE MINER M.S., LPCC
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Gender | Female
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Dates
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Enumeration Date | 03/10/2014
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 6201 W 135TH ST
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City | SAVAGE
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State | MN
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Zip | 55378-4410
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Country | US
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Telephone | 651-300-2609
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Fax |
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Provider Business Mailing Address
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Address Line | 3251 LILAC AVE N
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City | LAKE ELMO
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State | MN
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Zip | 55042-2224
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Country | US
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Telephone | 651-300-2609
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CC00744
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License Number State | MN
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