EAGAN COUNSELING CLINIC
Organization (NPI-2)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1144311184- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 3450 OLEARY LN, EAGAN, MN, 551232340
- Phone
- (651) 454-0114
- Fax
- (651) 454-3492
Specialties & Taxonomies
Case Management
License: MN #800689-2-MHC
Psychologist, Group Psychotherapy
License: MN #800689-2-MHC
Psychologist, Clinical
Primary License: MN #800689-2-MHC