Individual
MS. MARY ROSE COLUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LAMFT
Contact information
Practice address
8401 WAYZATA BLVD STE 150, GOLDEN VALLEY, MN 55426-1377
(763) 544-1006
Mailing address
8401 WAYZATA BLVD STE 150, GOLDEN VALLEY, MN 55426-1377
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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