Individual provider · Type 1 NPI

Grant Soe

Mental Health Counselor · Maple Grove, MN

NPI number 1164079919 Active

Practice location

13603 80th Cir N
Maple Grove, MN 55369-8961

Call (763) 274-3120 Map

Fax (763) 274-3121

Mailing address

1900 Silver Lake Rd NW Ste 110
New Brighton, MN 55112-1789

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1164079919

Grant Soe's National Provider Identifier is 1164079919, issued on Aug 26, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Maple Grove, MN. The record was last updated on Aug 26, 2019.