Organization
SOLFULL RIVER COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEFERTITI KHEMET GOUDJAYI LCSW (OWNER)
(916) 271-6797
Entity
Organization
Contact information
Practice address
5329 48TH AVE S UNIT 128, MINNEAPOLIS, MN 55417-3701
(916) 243-5337
Mailing address
5329 48TH AVE S UNIT 128, MINNEAPOLIS, MN 55417-3701
(916) 243-5337
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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