| NPI | 1598120123 |
|---|---|
| Doing Business As | ECLECTIC DRAGONFLY THERAPY SERVICES |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE KELLY-FADDLER Owner/Psychotherapist 763-482-1185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 00842) |
| Enumeration Date | 2015-12-26 |
| Last Update Date | 2015-12-26 |