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Organization
SUSAN BORDEN PSYCH
Active
Organization
SUSAN BORDEN PSYCH
Active
Other names
Center for Conscious Alchemy
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN BORDEN PMHNP (OWNER)
(612) 424-0434
Entity
Organization
Contact information
Practice address
2303 WYCLIFF ST STE W210, SAINT PAUL, MN 55114-1272
(612) 424-0434
(877) 905-7069
Mailing address
104 SEYMOUR AVE SE, MINNEAPOLIS, MN 55414-3558
(612) 424-0434
(877) 905-7069
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
133N00000X
Nutritionist
—
—
171100000X
Acupuncturist
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/08/2022
Last updated
05/19/2026
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