Organization · Type 2 NPI
Willful Psychotherapy & Consultation Services LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · St. Paul, MN
NPI number
1407688971
Active
Practice location
1024 Carroll Ave
St. Paul, MN 55104-5414
Mailing address
629 Upton Ave N
Minneapolis, MN 55411-3527
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1407688971
Willful Psychotherapy & Consultation Services LLC's National Provider Identifier is 1407688971, issued on Aug 14, 2024. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in St. Paul, MN. The record was last updated on Aug 14, 2024.