Individual
TODD CORHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC, LPCC
Contact information
Practice address
11334 86TH AVE N, MAPLE GROVE, MN 55369-4528
(763) 255-2125
Mailing address
629 E 18TH ST APT 231, MINNEAPOLIS, MN 55404-1914
(763) 439-0598
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4391
MN
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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