| NPI | 1194190728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER E BEALL Owner, Clinical Director 651-560-0050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2023-11-01 |