# PAUL MLADNICK CONSULTING LLC

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

## Provider details

- **NPI number:** 1467219089
- **Authorized official:** PAUL MLADNICK LMFT (OWNER)
- **Authorized official phone:** (612) 719-7966

## Contact information

- **Practice address:** 1068 LAKE ST S STE 109, FOREST LAKE, MN 55025-2633
- **Practice address phone:** (651) 982-4792
- **Practice address fax:** (651) 982-6035
- **Mailing address:** 1068 LAKE ST S STE 109, FOREST LAKE, MN 55025-2633
- **Mailing address phone:** (651) 982-4792
- **Mailing address fax:** (651) 982-6035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 02/29/2024
- **Last updated:** 02/29/2024