Individual provider · Type 1 NPI

Ellie Siedow

Mental Health Counselor · Minneapolis, MN

NPI number 1023794385 Active

Practice location

5407 Excelsior Blvd Ste B
Minneapolis, MN 55416-2932

Fax (952) 920-9323

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1023794385

Ellie Siedow's National Provider Identifier is 1023794385, issued on Jun 22, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Minneapolis, MN. The record was last updated on Jun 22, 2023.