| NPI | 1629952882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA MARIE COLEMAN CEO/Therapist 763-331-2161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2025-08-01 |
| Last Update Date | 2025-08-01 |