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General NPI Number Information
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NPI Number | 1689664187
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Entity Type | Individual
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Provider Name | KRISTINA BRAATEN MD, LPCC, LADC
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Gender | Female
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Dates
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Enumeration Date | 10/26/2005
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 909 FULTON ST SE
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City | MINNEAPOLIS
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State | MN
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Zip | 55455-4800
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Country | US
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Telephone | 612-273-8383
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Fax |
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Provider Business Mailing Address
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Address Line | 201 WINDSOR CT
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City | NEW BRIGHTON
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State | MN
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Zip | 55112-3367
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Country | US
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Telephone | 715-651-3125
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 305602
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | CC03297
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | 61967
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CC03297
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License Number State | MN
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