Organization
NORTH CENTRAL MINISTRY DEVELOPMENT CENTER, INC.
Active
Other names
LeaderWise Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ELMER SUNDBY PH.D. (EXECUTIVE DIRECTOR)
(651) 636-5120
Entity
Organization
Contact information
Practice address
516 MISSION HOUSE LN, NEW BRIGHTON, MN 55112-2571
(651) 636-5120
(651) 636-5124
Mailing address
516 MISSION HOUSE LN, NEW BRIGHTON, MN 55112-2571
(651) 636-5120
(651) 636-5124
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
LP4223
MN
103TC1900X
Counseling Psychologist
LP0816
MN
103TC1900X
Counseling Psychologist
Primary
LP4114
MN
103TC1900X
Counseling Psychologist
LP5213
MN
1041C0700X
Clinical Social Worker
MN06627
MN
Other
Enumeration date
04/04/2011
Last updated
05/14/2025
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