Organization
STEPS FOR CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANAE SULLIVAN LPCC (EXECUTIVE DIRECTOR)
(612) 860-8141
Entity
Organization
Contact information
Practice address
2712 FREMONT AVE S, MINNEAPOLIS, MN 55408-1122
(952) 522-1814
Mailing address
6040 EARLE BROWN DR STE 302, BROOKLYN CENTER, MN 55430-9902
(612) 860-8141
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CC01437
MN
Other
Enumeration date
05/01/2017
Last updated
04/29/2024
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