# COLLABORATIVE COUNSELING LLC

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

## Provider details

- **NPI number:** 1598034324
- **Authorized official:** NAOMI DORIOTT LARSON MA, LPC, LPCC (OWNER AND THERAPIST)
- **Authorized official phone:** (763) 210-9966

## Contact information

- **Practice address:** 12918 63RD AVE N, MAPLE GROVE, MN 55369-6001
- **Practice address phone:** (763) 210-9966
- **Mailing address:** 12918 63RD AVE N, MAPLE GROVE, MN 55369-6001
- **Mailing address phone:** (763) 210-9966

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 1064 | MN | Yes |

## Other

- **Enumeration date:** 12/22/2011
- **Last updated:** 05/18/2023