| NPI | 1861629206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE LYNN ANDERSON Clinic Director/Owner 651-600-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist | |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2013-08-28 |