Organization · Type 2 NPI
Community Counseling Clinic
Psychologist · Wayzata, MN
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
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | LP1597 (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…
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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.