| NPI | 1609114883 |
|---|---|
| Doing Business As | WELLSPRING COUNSELORS |
| Entity Type | Organization |
| Authorized Contact | AMANDA V CORNELIUS Owner 651-895-3624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN cc00430) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: MN cc00430) |
| 102L00000X Psychoanalyst (Licence: MN cc0430) | |
| 106H00000X Marriage & Family Therapist (Licence: MN cc0430) | |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2013-01-23 |