person
Izaak River Davison-kerwood
Mental Health Counselor in Minnetonka, Minnesota
NPI 1528666898

Izaak River Davison-kerwood is a Mental Health Counselor based in Minneapolis, MN and is specialized in Mental Health. Izaak River Davison-kerwood practices in Minnetonka, MN. The NPI Number for Izaak River Davison-kerwood is 1528666898 and holds a License No. (Minnesota).

The current practice location address for Izaak River Davison-kerwood is 13100 Wayzata Blvd, Minnetonka, MN and can be reached out via phone at 952-206-2040.

Location: 13100 Wayzata Blvd, Minnetonka, MN, 55416-4245
person
Provider Profile Details
NPI Number
1528666898
Provider Name
Izaak River Davison-kerwood
Credential
Provider Entity Type
Individual
Gender
Male
Address
13100 Wayzata Blvd, Minnetonka, MN, 55416-4245
Phone Number
952-206-2040
Fax Number
Provider Enumeration Date
10/09/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
13100 Wayzata Blvd
City
State
Zip
55305-1802
Phone Number
952-206-2040
Fax Number
person
Provider Business Mailing Address Details
Address
13100 Wayzata Blvd
City
State
Zip
55305-1802
Phone Number
952-206-2040
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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