| NPI | 1174955397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA MCKEAN Owner/Therapist 651-755-4276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MN 302991) |
| 106H00000X Marriage & Family Therapist (Licence: MN 2626) | |
| 246ZE0500X Specialist/Technologist, Other, EEG | |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2024-02-10 |