Organization
IZAAK DAVISON-KERWOOD
Active
Other names
Izaak Davison-Kerwood, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
IZAAK RIVER DAVISON-KERWOOD LPCC (CEO)
(612) 850-1006
Entity
Organization
Contact information
Practice address
1713 TYLER ST NE UNIT 2, MINNEAPOLIS, MN 55413-1533
(612) 850-1006
Mailing address
1713 TYLER ST NE UNIT 2, MINNEAPOLIS, MN 55413-1533
(612) 850-1006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
12/20/2024
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