Organization
MINDFUL YOU BEHAVIORAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE CLARK PHD (PSYCHOLOGIST)
(612) 227-5249
Entity
Organization
Contact information
Practice address
1219 11TH AVE SW APT 3, FOREST LAKE, MN 55025-1397
(612) 227-5249
Mailing address
1219 11TH AVE SW APT 3, FOREST LAKE, MN 55025-1397
(612) 227-5249
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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