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Organization
ECLECTIC DRAGONFLY THERAPY SERVICES, PLLC
Active
Organization
ECLECTIC DRAGONFLY THERAPY SERVICES, PLLC
Active
Other names
Eclectic Dragonfly Therapy Services
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE KELLY-FADDLER LPCC (OWNER/PSYCHOTHERAPIST)
(763) 482-1185
Entity
Organization
Contact information
Practice address
108 6TH AVE S, PRINCETON, MN 55371-1820
(763) 482-1185
Mailing address
PO BOX 213, PRINCETON, MN 55371-0213
(763) 482-1185
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
00842
MN
Other
Enumeration date
12/26/2015
Last updated
12/26/2015
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