Provider Demographics
NPI:1770202210
Name:PAIDIN, KARI (MFT)
Entity type:Individual
Prefix:
First Name:KARI
Middle Name:
Last Name:PAIDIN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1187 MAPLE LN W
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55113-2487
Mailing Address - Country:US
Mailing Address - Phone:651-276-2943
Mailing Address - Fax:
Practice Address - Street 1:215 N 2ND ST STE 109
Practice Address - Street 2:
Practice Address - City:RIVER FALLS
Practice Address - State:WI
Practice Address - Zip Code:54022-3707
Practice Address - Country:US
Practice Address - Phone:715-629-7047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-26
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI830228106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty