Individual
PATRICK ELLINGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11010 PRAIRIE LAKES DR STE 350, EDEN PRAIRIE, MN 55344-3801
(952) 746-2522
Mailing address
11010 PRAIRIE LAKES DR STE 350, EDEN PRAIRIE, MN 55344-3801
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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