Organization
WILLFUL PSYCHOTHERAPY & CONSULTATION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM H KIRKLAND LPCC (OWNER)
(651) 434-9312
Entity
Organization
Contact information
Practice address
1024 CARROLL AVE, SAINT PAUL, MN 55104-5414
(651) 434-9312
Mailing address
629 UPTON AVE N, MINNEAPOLIS, MN 55411-3527
(651) 434-9312
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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