| NPI | 1033758214 | 
|---|---|
| Doing Business As | IAN FELTON, MA, LPCC | 
| Entity Type | Organization | 
| Authorized Contact | IAN FELTON President 612-232-9677 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | 
| Enumeration Date | 2020-01-05 | 
| Last Update Date | 2022-12-01 |