Organization
61 EXPERIENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN ECKDAHL (PRESIDENT)
(612) 418-9429
Entity
Organization
Contact information
Practice address
1 WATER ST W STE 230, SAINT PAUL, MN 55107-2002
(612) 418-9429
Mailing address
3822 REGENT AVE N, ROBBINSDALE, MN 55422-2019
(612) 418-9429
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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