Individual provider · Type 1 NPI
Dean Theodore Theophilos, LPCC, LCPC, LADC
Mental Health Counselor · St. Paul, MN
NPI number
1497292684
Active
Practice location
2324 University Ave W Ste 100
St. Paul, MN 55114-1854
Fax (651) 789-5677
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 303750 (MN) |
| Mental Health Counselor | 101YM0800X | 180.012732 (IL) |
| Mental Health Counselor Primary | 101YM0800X | CC01465 (MN) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1497292684
Dean Theodore Theophilos, LPCC, LCPC, LADC's National Provider Identifier is 1497292684, issued on Jan 25, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Paul, MN. The record was last updated on Jul 13, 2022.