KAITLYN PIJANOWSKI MA
NPI 1902403942
Counselor - Professional in St Paul Park, MN
Active since October 02, 2020
About Kaitlyn Pijanowski Ma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KAITLYN PIJANOWSKI MA (NPI 1902403942) is an individual professional provider in St Paul Park, Minnesota and active in the NPI registry since October 2020.
NPPES Registry Identity
NPI1902403942
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKAITLYN PIJANOWSKICredential: MA
Location Address445 BROADWAY AVE STE ASt Paul Park, MN 55071-1554
Mailing Address11 S 12th St Apt 102Minneapolis, MN 55403-2029 · (630) 699-4610
Phone(630) 699-4610
Sole ProprietorYes
Enumeration DateOctober 2, 2020
NPPES CertifiedOctober 2, 2020
✔ NPI 1902403942 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
445 BROADWAY AVE STE A, St Paul Park, MN 55071
Group Practice 1
Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Marriage & Family Therapist
445 BROADWAY AVE STE A
ST PAUL PARK, MN 55071
ST PAUL PARK, MN 55071
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902403942, enumerated as an "individual" on October 02, 2020.
The provider is located at 445 BROADWAY AVE STE A ST PAUL PARK, MN 55071 and the phone number is (630) 699-4610.
Counselor with taxonomy code 101YP2500X and a focus in Professional.