Individual
DEANNA PELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA LPCC
Contact information
Practice address
7260 UNIVERSITY AVE NE STE 235, FRIDLEY, MN 55432-3141
(763) 572-2612
(763) 572-2606
Mailing address
7260 UNIVERSITY AVE NE STE 235, FRIDLEY, MN 55432-3141
(763) 572-2612
(763) 572-2606
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC02864
MN
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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