Individual provider · Type 1 NPI

Marya Samuelson, M.ED., LPCC

Mental Health Counselor · Minneapolis, MN

NPI number 1073933982 Active

Practice location

3141 E Bde Maka Ska Pkwy
Minneapolis, MN 55408-2514

Call (952) 994-8114 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X3288 (CA)
Professional Counselor 101YP2500X3288 (CA)
Professional Counselor 101YP2500X780 (MN)
Mental Health Counselor Primary 101YM0800X780 (MN)

Mental Health Counselor: Definition to come...

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About NPI 1073933982

Marya Samuelson, M.ED., LPCC's National Provider Identifier is 1073933982, issued on Apr 17, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Minneapolis, MN. The record was last updated on Apr 27, 2022.