Organization
NORTHEAST ART THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDEN O'CONNELL LPCC (OWNER)
(512) 509-9987
Entity
Organization
Contact information
Practice address
79 13TH AVE NE STE 103A, MINNEAPOLIS, MN 55413-1073
(612) 509-9987
(612) 421-0036
Mailing address
79 13TH AVE NE STE 103A, MINNEAPOLIS, MN 55413-1073
(612) 509-9987
(612) 421-0036
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/05/2019
Last updated
04/05/2019
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