Organization
CALLI MENTAL HEALTH SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARL D OLSON APRN (OWNER)
(651) 261-0972
Entity
Organization
Contact information
Practice address
11334 86TH AVE N, MAPLE GROVE, MN 55369-4528
(763) 255-2125
(763) 255-2126
Mailing address
11334 86TH AVE N, MAPLE GROVE, MN 55369-4528
(763) 255-2125
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/14/2022
Last updated
01/14/2022
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