Individual provider · Type 1 NPI
Marie Marie Elaine, LICSW
Mental Health Counselor · St. Paul, MN
NPI number
1083587075
Active
Practice location
2069 Watson Ave Apt 32
St. Paul, MN 55116-1116
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 24782 (MN) |
Mental Health Counselor: Definition to come...
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About NPI 1083587075
Marie Marie Elaine, LICSW's National Provider Identifier is 1083587075, issued on Sep 25, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Paul, MN. The record was last updated on Sep 25, 2025.