Organization
PREGNANCY AND POSTPARTUM SUPPORT MINNESOTA
Active
Parent organization
NAMI MINNESOTA
Organization subpart
Yes
Provider details
NPI number
Legal business name
NAMI MINNESOTA
Authorized official
CRYSTAL CLANCY M.A. LMFT (CO-DIRECTOR OF PPSM)
(612) 548-4266
Entity
Organization
Contact information
Practice address
1700 NIAGARA LN N, STE 201, PLYMOUTH, MN 55447-4739
(612) 590-7794
Mailing address
1700 NIAGARA LN N, STE 201, PLYMOUTH, MN 55447-4739
(612) 590-7794
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1356
MN
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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