Organization · Type 2 NPI

Innovative Psychological Consultants, LLC

Addiction (Substance Use Disorder) Psychologist · Maple Grove, MN

NPI number 1942221080 Active

Practice location

7372 Kirkwood Ct
Maple Grove, MN 55369-5202

Fax (763) 416-4137

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Psychologist Primary 103TA0400XLP4615 (MN)
Counseling Psychologist 103TC1900XLP4615 (MN)

Addiction (Substance Use Disorder) Psychologist: A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behav…

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About NPI 1942221080

Innovative Psychological Consultants, LLC's National Provider Identifier is 1942221080, issued on Jul 22, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Psychologist (103TA0400X), and the practice location is in Maple Grove, MN. The record was last updated on Sep 11, 2025.