| NPI | 1346259041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOWELL MASON CAMPBELL Psychologist 952-445-1378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN LP2631) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-05-21 |