Organization
INTERNAL REVOLUTION COUNSELING AND CONSULTING, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANESH PATEL (PSYCHOLOGIST)
(612) 356-1566
Entity
Organization
Contact information
Practice address
1123 GRAND AVENUE, SUITE 201, SAINT PAUL, MN 55105
(612) 356-1566
Mailing address
3125 37TH AVE SOUTH, MINNEAPOLIS, MN 55406-2134
(612) 787-7583
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
LP5711
MN
Other
Enumeration date
09/01/2016
Last updated
03/03/2025
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