Organization
BEHAVIORAL RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES MULLER POWELL L.I.C.S.W. (PSYCHOTHERAPIST)
(612) 648-8583
Entity
Organization
Contact information
Practice address
521 TANGLEWOOD DR, SHOREVIEW, MN 55126-2016
(612) 648-8583
Mailing address
673 LOIS LN, LINO LAKES, MN 55014-5498
(612) 648-8583
(651) 784-7761
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
00446
MN
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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