Organization · Type 2 NPI

Community Counseling Clinic

Psychologist · Wayzata, MN

NPI number 1487739819 Active

Practice location

700 Twelve Oaks Center Dr, Ste. 734
Wayzata, MN 55391-4401

Fax (612) 235-3384

Mailing address

16725 12th Ave N
Plymouth, MN 55447-3001

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XLP1597 (MN)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

15 other providers at this address

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About NPI 1487739819

Community Counseling Clinic's National Provider Identifier is 1487739819, issued on Oct 26, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Wayzata, MN. The record was last updated on Aug 22, 2020.