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Organization
MINDFUL WAY COUNSELING, LLC
Active
Organization
MINDFUL WAY COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA PATTEN LICSW (DIRECTOR)
(612) 389-2332
Entity
Organization
Contact information
Practice address
1250 MOORE LAKE DR E STE 152, FRIDLEY, MN 55432-5135
(612) 389-2332
(612) 389-2338
Mailing address
1250 MOORE LAKE DR E STE 152, FRIDLEY, MN 55432-5135
(612) 389-2332
(612) 389-2338
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
10/18/2018
Last updated
09/20/2019
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