Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
INTEGRATED LIFE COUNSELING CENTER, PLLC
Active OrganizationINTEGRATED LIFE COUNSELING CENTER, PLLC is a Clinical Psychologist organization located in LAKE ELMO, Minnesota. NPI 1649644634 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · LAKE ELMO, MN
Registration Details
- NPI Number
- 1649644634
- Provider Type
- Organization
- NPI Issued
- Nov 14, 2015 (10.732707030553 yrs)
- Last Updated
- Sep 2, 2016
- Licenses
-
CC00241 (MN)920 (MN)2005 (MN)LP3782 (MN)
Practice Information
- Address
-
8931 33RD STREET NLAKE ELMO, MN, 550428900Browse MN providers · Browse ZIP 55042
- Phone
- 6512429608
- Fax
- 6517568138
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Marriage & Family Therapist
- Additional Specialty
- Marriage & Family Therapist
- Additional Specialty
- Clinical Psychologist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.