Individual provider · Type 1 NPI

Nicolai Wallace

Marriage & Family Therapist · St. Louis Park, MN

NPI number 1750736641 Active

Practice location

5407 Excelsior Blvd
St. Louis Park, MN 55416-2929

Call (612) 710-8910 Map

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XNone listed

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1750736641

Nicolai Wallace's National Provider Identifier is 1750736641, issued on Apr 27, 2016. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in St. Louis Park, MN. The record was last updated on Apr 27, 2016.