Organization
ACACIA PSYCHOLOGICAL CORPORATION
Active
Other names
Acacia Counseling & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT DONNELLY (CO-OWNER/CEO)
(805) 399-2511
Entity
Organization
Contact information
Practice address
2720 UNIVERSITY AVE SE, UNIT B, MINNEAPOLIS, MN 55414-3210
(805) 399-2511
Mailing address
948 EMBARCADERO DEL NORTE, GOLETA, CA 93117-5106
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
CC01316
MN
103TC0700X
Clinical Psychologist
Primary
GL0058
MN
Other
Enumeration date
01/30/2017
Last updated
03/14/2017
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