Individual
IRA EDEN SHAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. M.S.
Contact information
Practice address
13911 RIDGEDALE DR STE 335, MINNETONKA, MN 55305-1775
(651) 231-2665
Mailing address
9800 SHELARD PKWY STE 115, PLYMOUTH, MN 55441-6527
(651) 231-2665
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/02/2018
Last updated
01/18/2024
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