Organization · Type 2 NPI
Integrated Life Counseling Center, PLLC
Clinical Psychologist · Lake Elmo, MN
Practice location
8931 33rd Street N
Lake Elmo, MN 55042-8900
Fax (651) 756-8138
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | CC00241 (MN) |
| Clinical Psychologist Primary | 103TC0700X | LP3782 (MN) |
| Marriage & Family Therapist | 106H00000X | 920 (MN) |
| Marriage & Family Therapist | 106H00000X | 2005 (MN) |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
About NPI 1649644634
Integrated Life Counseling Center, PLLC's National Provider Identifier is 1649644634, issued on Nov 14, 2015. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Lake Elmo, MN. The record was last updated on Sep 2, 2016.