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Organization
SHIFT LIMITED LIABILITY COMPANY
Active
Organization
SHIFT LIMITED LIABILITY COMPANY
Active
Other names
Shift Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
JANNA MARIE MASON MS, LPCC, NCC (OWNER, LPCC)
(612) 562-6605
Entity
Organization
Contact information
Practice address
12800 WHITEWATER DR STE 100, MINNETONKA, MN 55343-9347
(612) 562-6605
Mailing address
12800 WHITEWATER DR STE 100, MINNETONKA, MN 55343-9347
(612) 562-6605
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
Other
Enumeration date
01/21/2021
Last updated
11/01/2023
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