NPI | 1508115023 |
---|---|
Doing Business As | INTRINSICUM POTENTIA COUNSELING |
Entity Type | Organization |
Authorized Contact | MARK JUDSON MOLLER Owner/Therapist 612-280-0475 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN 01195) |
Enumeration Date | 2012-08-29 |
Last Update Date | 2012-08-29 |