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NPI Code Detail

MEDICARE: HAILLEY K COUND MA, LPCC

MEDICARE: HAILLEY K COUND MA, LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor4996MN

General Provider Information

NPI Number : 1376022152
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAILLEY K COUND MA, LPCC
Provider Business Mailing Address
First Line : 245 RUTH ST N STE 101
Second Line :
City : SAINT PAUL
State : MN
Zip : 55119-4409
Country : US
Telephone Number : 651-955-4633
Fax Number : 651-440-9827
Provider Business Practice Location Address
First Line : 245 RUTH ST N STE 101
Second Line :
City : SAINT PAUL
State : MN
Zip : 55119-4409
Country : US
Telephone Number : 651-955-4633
Fax Number : 651-440-9827
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2018
Last Update Date : 12/10/2025

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Directions to “ HAILLEY K COUND MA, LPCC” Practice Location

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