Organization
HOPEFUL HIPO WELLNESS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIESA HIPOLITO KINNEY LPCC (PSYCHOTHERAPIST)
(763) 528-0107
Entity
Organization
Contact information
Practice address
18205 45TH AVE N STE A, PLYMOUTH, MN 55446-4594
(763) 528-0107
Mailing address
12061 NOON DR, DAYTON, MN 55327-9796
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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