# COUNSELING AND THERAPEUTIC SUPPORT SERVICES PLLC

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

## Provider details

- **NPI number:** 1831545771
- **Authorized official:** MRS. KATHRYN MARIE-WILKER BARRETT MA, LMFT (CEO/CFO)
- **Authorized official phone:** (612) 702-1976

## Contact information

- **Practice address:** 600 W 78TH ST STE 10I, CHANHASSEN, MN 55317-2601
- **Practice address phone:** (612) 702-1976
- **Mailing address:** PO BOX 477, CHANHASSEN, MN 55317-0477

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 2272 | MN | Yes |

## Other

- **Enumeration date:** 05/10/2016
- **Last updated:** 12/08/2020