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Justin Shedivy
Counselor in New Brighton, Minnesota
NPI 1174807333

Justin Shedivy is a Counselor based in New Brighton, MN. Justin Shedivy practices in New Brighton, MN. The NPI Number for Justin Shedivy is 1174807333 and holds a License No. (Minnesota).

The current practice location address for Justin Shedivy is 1900 Silver Lake Rd Nw, New Brighton, MN and can be reached out via phone at 651-628-9566.

Location: 1900 Silver Lake Rd Nw, New Brighton, MN, 55112-1786
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174807333
Provider Name
Justin Shedivy
Credential
Provider Entity Type
Individual
Gender
Male
Address
1900 Silver Lake Rd Nw, New Brighton, MN, 55112-1786
Phone Number
651-628-9566
Fax Number
Provider Enumeration Date
10/06/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1900 Silver Lake Rd Nw
City
New Brighton
State
Minnesota
Zip
55112-1786
Phone Number
651-628-9566
Fax Number
person
Provider Business Mailing Address Details
Address
1900 Silver Lake Rd Nw
City
New Brighton
State
Minnesota
Zip
55112-1786
Phone Number
651-628-9566
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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