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Organization

PSYCHOANALYTIC CONSULTANTS, INC.

Active
Other names
PCI
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN A DESTEIAN DPSY (OWNER)
(651) 293-1684
Entity
Organization

Contact information

Practice address
950 SAINT CLAIR AVE, SAINT PAUL, MN 55105-3214
(651) 293-1684
(651) 293-1562
Mailing address
950 SAINT CLAIR AVE, SAINT PAUL, MN 55105-3214
(651) 293-1684

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LICSW2014
LICSW
MN
01
LPO485
LP
MN
Enumeration date
10/01/2020
Last updated
10/01/2020
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