Individual provider · Type 1 NPI

Eric Ly

Mental Health Counselor · Woodbury, MN

NPI number 1386208213 Active

Practice location

721 Commerce Dr
Woodbury, MN 55125-9118

Mailing address

5110 Kirkwood Ave N
Lake Elmo, MN 55042-9559

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCC04553 (MN)

Mental Health Counselor: Definition to come...

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About NPI 1386208213

Eric Ly's National Provider Identifier is 1386208213, issued on Apr 25, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Woodbury, MN. The record was last updated on Sep 19, 2024.