Individual
MRS. ZOEY C SEVERSON X
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9800 SHELARD PKWY, MINNEAPOLIS, MN 55441-6411
(763) 522-0100
Mailing address
9800 SHELARD PKWY STE 325, MINNEAPOLIS, MN 55441-6453
(763) 522-0100
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
02355
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02355
BOARD OF BEHAVIORAL HEALTH AND THERAPY
MN
01
—
L055729-4
MINNESOTA BOARD OF NURSING
MN
Enumeration date
02/10/2020
Last updated
02/10/2020
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