Most Relevant Information
Provider Data
| NPI Number: | 1003454356 |
| Provider Name: | KYLE LIPINSKI MSS, LADC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 305060 |
Most Important Dates
| Enumeration Date: | 12/17/2019 |
| Last Updated: | 12/19/2019 |
Provider Practice Location
438 DOROTHY DAY PL
SAINT PAUL
MN
551021081
Practice Location Phone/Fax
| Phone: | 6517932219 |
| Fax: |
Provider Mailing Location
153 CESAR CHAVEZ ST
SAINT PAUL
MN
551072226
Provider Mailing Phone/Fax
| Phone: | 6513892540 |
| Fax: |