# ISUROON

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053802397
- **Authorized official:** DR. ROBIN LEE WETZEL PH.D. (PROGRAM CONSULTANT)
- **Authorized official phone:** (612) 886-2731

## Contact information

- **Practice address:** 1600 EAST LAKE STREET SUITE 1, MINNEAPOLIS, MPLS, MN 55407
- **Practice address phone:** (612) 886-2731
- **Mailing address:** 1600 EAST LAKE STREET SUITE 1, MINNEAPOLIS, MPLS, MN 55407
- **Mailing address phone:** (612) 886-2731

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 05/22/2018
- **Last updated:** 04/30/2021
