Individual provider · Type 1 NPI

Angela Suzanne Elmendorf

Professional Counselor · Chanhassen, MN

NPI number 1073165569 Active

Practice location

7975 Stone Creek Dr Ste 130
Chanhassen, MN 55317-4728

Call (953) 544-6806 Map

Fax (952) 545-0098

Mailing address

10201 Wayzata Blvd Ste 100
Minnetonka, MN 55305-1500

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Mental Health Counselor 101YM0800XNone listed
Professional Counselor Primary 101YP2500X5503 (MN)

Professional Counselor: Definition to come...

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About NPI 1073165569

Angela Suzanne Elmendorf's National Provider Identifier is 1073165569, issued on Jul 15, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chanhassen, MN. The record was last updated on Jul 2, 2026.