Individual
PAUL MICHAEL NOVOTNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPCC
Contact information
Practice address
1919 UNIVERSITY AVE W STE 6, SAINT PAUL, MN 55104-3453
(651) 636-8677
Mailing address
1375 DAVERN STREET #319, ST. PAUL, MN 55116
(612) 710-9297
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC00065
MN
Other
Enumeration date
10/23/2009
Last updated
10/23/2009
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