| NPI | 1053937029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON WOHLMAN Co Owner 651-412-5088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YM0800X Counselor, Mental Health | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2021-12-19 |