Organization
SOUTHVIEW COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLE ANN GORMAN MA, LPCC (OWNER/MENTAL HEALTH PROFESSIONAL)
(612) 364-0441
Entity
Organization
Contact information
Practice address
15010 GLAZIER AVE STE 205A, APPLE VALLEY, MN 55124-7403
(612) 364-0441
Mailing address
15010 GLAZIER AVE STE 205A, APPLE VALLEY, MN 55124-7403
(612) 364-0441
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1607
MN
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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