Organization
PSYCHOTHERAPY AND RESILIENCE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HELENA JANE MACKENZIE PHD (CLINICAL PSYCHOLOGIST)
(612) 345-0598
Entity
Organization
Contact information
Practice address
366 SELBY AVE, SUITE 200, SAINT PAUL, MN 55102-1880
(612) 345-0598
Mailing address
366 SELBY AVE, SUITE 200, SAINT PAUL, MN 55102-1880
(612) 345-0598
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP4407
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074982600
—
MN
Enumeration date
12/10/2015
Last updated
12/10/2015
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