Organization
CORE PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW M. PAYMAR M.A., LPCC (OWNER)
(612) 293-9332
Entity
Organization
Contact information
Practice address
5871 CEDAR LAKE RD S STE 220, ST LOUIS PARK, MN 55416-3804
(612) 293-9332
(267) 363-2411
Mailing address
5871 CEDAR LAKE RD S STE 220, ST LOUIS PARK, MN 55416-3804
(612) 293-9332
(267) 363-2411
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPCC CC00275
MN
Other
Enumeration date
03/19/2011
Last updated
03/19/2011
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