Individual provider · Type 1 NPI

Susan Ivancie

Mental Health Counselor · New Brighton, MN

NPI number 1780036178 Active

Practice location

1900 Silver Lake Rd NW, Suite 110
New Brighton, MN 55112-1786

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1780036178

Susan Ivancie's National Provider Identifier is 1780036178, issued on Jul 8, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in New Brighton, MN. The record was last updated on Jul 8, 2016.