Individual provider · Type 1 NPI

Justin Shedivy

Counselor · New Brighton, MN

NPI number 1174807333 Active

Practice location

1900 Silver Lake Rd NW, Suite 110
New Brighton, MN 55112-1786

Call (651) 628-9566 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1174807333

Justin Shedivy's National Provider Identifier is 1174807333, issued on Oct 6, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in New Brighton, MN. The record was last updated on Oct 6, 2011.