Organization · Type 2 NPI

Plymouth Psych Group, LLC

Mental Health Counselor · Plymouth, MN

NPI number 1003195942 Active

Practice location

3021 Harbor Ln N, Suite 206
Plymouth, MN 55447-5109

Fax (763) 271-2707

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1003195942

Plymouth Psych Group, LLC's National Provider Identifier is 1003195942, issued on Aug 10, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Plymouth, MN. The record was last updated on Aug 10, 2011.