# 61 EXPERIENCE

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

## Provider details

- **NPI number:** 1053948315
- **Authorized official:** RYAN ECKDAHL (PRESIDENT)
- **Authorized official phone:** (612) 418-9429

## Contact information

- **Practice address:** 1 WATER ST W STE 230, SAINT PAUL, MN 55107-2002
- **Practice address phone:** (612) 418-9429
- **Mailing address:** 3822 REGENT AVE N, ROBBINSDALE, MN 55422-2019
- **Mailing address phone:** (612) 418-9429

## Taxonomy

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

## Other

- **Enumeration date:** 03/26/2020
- **Last updated:** 03/26/2020