Organization
NORTH CENTRAL PSYCHOLOGICAL CONSULTANTS, INC.
Active
Organization
NORTH CENTRAL PSYCHOLOGICAL CONSULTANTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIE LYNN ANDERSON PSYD, LP, LMFT (CLINIC DIRECTOR/OWNER)
(651) 600-2727
Entity
Organization
Contact information
Practice address
12760 ABERDEEN ST NE, SUITE 212, BLAINE, MN 55449-5845
(651) 600-2727
(612) 656-3031
Mailing address
12760 ABERDEEN ST NE, SUITE 212, BLAINE, MN 55449-5845
(651) 600-2727
(612) 656-3031
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
06/11/2009
Last updated
08/28/2013
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