Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor |
NPI | 1003061235 |
---|---|
Provider Name | Angela Kristin Saeger |
First Address | Richfield, MN 55423-2712 |
Second Address | Richfield, MN 55423-2712 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2008 |
Last Update Date | 17/03/2018 |