Individual
CONNIE NICHOLS MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
3206 W OWASSO BLVD, SHOREVIEW, MN 55126-4138
(651) 490-9891
Mailing address
3206 W OWASSO BLVD, SHOREVIEW, MN 55126-4138
(651) 490-9891
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
3999
MN
1041C0700X
Clinical Social Worker
Primary
—
MN
Other
Enumeration date
04/07/2007
Last updated
09/11/2025
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