| Doctor Name: | ELIZABETH E KUETTNER |
| NPI Number: | 1346427523 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MC, LPC, CPRP |
| License Number: | 00176 |
| Business Practice Address: | 5510 W Broadway Ave Ste 112a Crystal, MN - 554283577 |
| Business Phone Number: | 6127528320 |
| Business Fax Number: | 6127528301 |
| Mailing Address: | 5510 W Broadway Ave Ste 112a, CRYSTAL |
| State: | MN |
| Postal Code: | 554283577 |
| Phone Number: | 6127528320 |
| Fax Number: | 6127528301 |
| NPI Enumeration Date: | 01/30/2008 |
| NPI Last Update Date: | 01/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 00176 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |