Individual
ELLEN POTTER SIMONSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.C
Contact information
Practice address
8441 WAYZATA BLVD STE 120, GOLDEN VALLEY, MN 55426-1349
(763) 566-0088
Mailing address
8441 WAYZATA BLVD STE 120, GOLDEN VALLEY, MN 55426-1349
(763) 566-0088
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC00208
MN
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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