Individual
MADISON TWEED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, LADC
Contact information
Practice address
6550 YORK AVE S STE 620, EDINA, MN 55435-2347
(952) 926-2526
Mailing address
6550 YORK AVE S STE 620, EDINA, MN 55435-2347
(952) 926-2526
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3471
MN
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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