Individual
MALLEY ELIZABETH CHRISTIANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
570 PROFESSIONAL DR, NORTHFIELD, MN 55057-2756
(507) 301-3412
(507) 301-3308
Mailing address
570 PROFESSIONAL DR, NORTHFIELD, MN 55057-2756
(507) 301-3412
(507) 301-3308
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2056
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2056
LPCC
MN
Enumeration date
03/04/2019
Last updated
06/25/2019
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