Organization
OPTIMISTIC LIVING COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE ANN CLARK MA, LMFT (CLINICAL DIRECTOR)
(763) 497-0733
Entity
Organization
Contact information
Practice address
10904 57TH ST NE STE 106, ALBERTVILLE, MN 55301-4654
(763) 497-0733
(763) 497-0728
Mailing address
10904 57TH ST NE STE 106, ALBERTVILLE, MN 55301-4654
(763) 497-0733
(763) 497-0728
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
2110
MN
Other
Enumeration date
12/30/2011
Last updated
03/22/2019
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