Organization
IDEAWELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES PINSON (OWNER, LMFT)
(763) 200-4321
Entity
Organization
Contact information
Practice address
3106 164TH AVE NW, ANDOVER, MN 55304-2416
(763) 200-4321
Mailing address
PO BOX 92, ANDOVER, MN 55304-0010
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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