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Individual

DANIEL JAMES MADSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, LPCC

Contact information

Practice address
510 1ST AVE N STE 601, MINNEAPOLIS, MN 55403-1697
(612) 367-6929
Mailing address
860 20TH AVE SE, MINNEAPOLIS, MN 55414-2508
(763) 498-3683

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2210
MN

Other

Enumeration date
02/28/2021
Last updated
02/28/2021
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