Organization
INTEGRATIVE COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL LEE NELSON MA, LMFT (LICENSED MARRIAGE & FAMILY THERAPIS)
(612) 245-5229
Entity
Organization
Contact information
Practice address
4524 46TH AVE S, MINNEAPOLIS, MN 55406-3620
(612) 245-5229
Mailing address
4524 46TH AVE S, MINNEAPOLIS, MN 55406-3620
(612) 245-5229
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
11/28/2022
Last updated
09/06/2023
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