Individual
BRIAN DAVID EMMECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1000 SHELARD PKWY STE 520, SAINT LOUIS PARK, MN 55426-4932
(763) 226-5330
Mailing address
5329 48TH AVE S UNIT 405, MINNEAPOLIS, MN 55417-3706
(763) 226-5330
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/12/2024
Last updated
12/13/2024
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