Organization
TIKVAH COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEAL ALLEN GILLETT MA, LP, LICSW (OWNER)
(612) 220-1151
Entity
Organization
Contact information
Practice address
14024 ROYAL CT, MINNETONKA, MN 55345-3928
(612) 220-1151
(952) 681-2568
Mailing address
14024 ROYAL CT, MINNETONKA, MN 55345-3928
(612) 220-1151
(952) 681-2568
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP2348
MN
1041C0700X
Clinical Social Worker
8058
MN
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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