Organization
YOUR STORY MATTERS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON MARTINA RAPALO MEDINA LICSW (OWNER)
(612) 293-0635
Entity
Organization
Contact information
Practice address
1250 MOORE LAKE DR E STE 205D, FRIDLEY, MN 55432-5176
(612) 293-0635
Mailing address
1250 MOORE LAKE DR E STE 205D, FRIDLEY, MN 55432-5176
(612) 293-0635
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/17/2023
Last updated
08/22/2023
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