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Organization
COLLABORATIVE COUNSELING LLC
Active
Organization
COLLABORATIVE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAOMI DORIOTT LARSON MA, LPC, LPCC (OWNER AND THERAPIST)
(763) 210-9966
Entity
Organization
Contact information
Practice address
12918 63RD AVE N, MAPLE GROVE, MN 55369-6001
(763) 210-9966
Mailing address
12918 63RD AVE N, MAPLE GROVE, MN 55369-6001
(763) 210-9966
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1064
MN
Other
Enumeration date
12/22/2011
Last updated
05/18/2023
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