| NPI | 1548970825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL LEE NELSON Licensed Marriage & Family Therapis 612-245-5229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2023-09-06 |