Mr. Davis Richard Dodge, MS - St Louis Park, MN

Mr. Davis Richard Dodge, MS

Counselor in St Louis Park, Minnesota

NPI 1245924562

Davis Richard Dodge is a Counselor based in North Mankato, MN. Davis Richard Dodge practices in St Louis Park, MN and has the professional credentials of MS. The NPI Number for Davis Richard Dodge is 1245924562 and holds a License No. (Minnesota).

The current practice location address for Davis Richard Dodge is 7601 Wayzata Blvd, St Louis Park, MN and can be reached out via phone at 603-391-2136.

Location: 7601 Wayzata Blvd, St Louis Park, MN, 56003-1905

NPI Number

1245924562

Provider Name

Davis Richard Dodge

Credential

Provider Entity Type

Individual

Gender

Male

Address

7601 Wayzata Blvd, St Louis Park, MN, 56003-1905

Phone Number

603-391-2136

Fax Number

Provider Enumeration Date

06/08/2023

Last Update Date

03/10/2024

Address

7601 Wayzata Blvd

City

St Louis Park

State

Minnesota

Zip

55426-1623

Phone Number

603-391-2136

Fax Number

Address

7601 Wayzata Blvd

City

St Louis Park

State

Minnesota

Zip

55426-1623

Phone Number

603-391-2136

Fax Number

Type

Behavioral Health & Social Service Providers

Classification

Counselor

Speciality

Taxonomy

101Y00000X

License No.

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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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