# TRULY WILLOW PSYCHOTHERAPY PLLC

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

## Provider details

- **NPI number:** 1780429639
- **Authorized official:** KATIE KUSSARD (OWNER)
- **Authorized official phone:** (952) 228-0047

## Contact information

- **Practice address:** 554 POINT DOUGLAS RD S, SAINT PAUL, MN 55119-5371
- **Practice address phone:** (952) 228-0047
- **Mailing address:** 1670 ROBERT ST S STE 149, SAINT PAUL, MN 55118-3918

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 07/01/2024
- **Last updated:** 07/08/2024