Individual
MAX AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPCC, LADC
Contact information
Practice address
3033 EXCELSIOR BLVD STE 365, MINNEAPOLIS, MN 55416-4688
(612) 520-1814
Mailing address
4401 PARK GLEN RD APT 308, ST LOUIS PARK, MN 55416-4768
(612) 270-4764
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304553
MN
101YM0800X
Mental Health Counselor
Primary
—
MN
Other
Enumeration date
07/17/2019
Last updated
04/09/2025
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