Organization · Type 2 NPI

Child and Family Specialty Clinic P A

Mental Health Counselor · Minneapolis, MN

NPI number 1376765529 Active

Practice location

4748 Chicago Ave Ste 1
Minneapolis, MN 55407-4311

Call (612) 821-1920 Map

Fax (612) 821-1919

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X00215 (MN)
Clinical Social Worker 1041C0700X9839 (MN)
Clinical Social Worker 1041C0700X15301 (MN)
Marriage & Family Therapist 106H00000X1075 (MN)

Mental Health Counselor: Definition to come...

3 other providers at this address

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About NPI 1376765529

Child and Family Specialty Clinic P A's National Provider Identifier is 1376765529, issued on May 3, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Minneapolis, MN. The record was last updated on May 22, 2026.