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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