# INNOVATIVE PSYCHOLOGICAL CONSULTANTS, LLC

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

## Provider details

- **NPI number:** 1942221080
- **Authorized official:** CHRISTIAN TODD ANDERSON PSY.D. (CEO)
- **Authorized official phone:** (763) 416-4167

## Contact information

- **Practice address:** 7372 KIRKWOOD CT, MAPLE GROVE, MN 55369-5202
- **Practice address phone:** (763) 416-4167
- **Practice address fax:** (763) 416-4137
- **Mailing address:** 7372 KIRKWOOD CT, MAPLE GROVE, MN 55369-5202
- **Mailing address phone:** (763) 416-4167
- **Mailing address fax:** (763) 416-4137

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | LP4615 | MN | Yes |
| 103TC1900X | Counseling Psychologist | LP4615 | MN | — |

## Other

- **Enumeration date:** 07/22/2006
- **Last updated:** 09/11/2025