Most Relevant Information
Provider Data
| NPI Number: | 1003585738 |
| Provider Name: | SHANIA VAUPEL |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/07/2021 |
| Last Updated: | 03/20/2024 |
Provider Practice Location
5354 PARKDALE DR
ST LOUIS PARK
MN
554161603
Practice Location Phone/Fax
| Phone: | 8883645977 |
| Fax: |
Provider Mailing Location
5453 PARKDALE DR
MINNEAPOLIS
MN
55416
Provider Mailing Phone/Fax
| Phone: | 8883645977 |
| Fax: |