Individual
EMILY PAVLIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC, LMFT
Contact information
Practice address
4660 SLATER RD, SUITE 225, EAGAN, MN 55122
(651) 246-8895
(651) 344-7655
Mailing address
4660 SLATER RD, SUITE 225, EAGAN, MN 55122
(651) 246-8895
(651) 344-7655
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
301842
MN
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2221
LMFT
MN
01
—
301842
LADC
MN
Enumeration date
01/25/2008
Last updated
03/14/2023
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