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Integrated Life Counseling Center, Pllc
Marriage & Family Therapist in Lake Elmo, Minnesota
NPI 1649644634

Integrated Life Counseling Center, Pllc is a Marriage & Family Therapist based in Lake Elmo, MN. Integrated Life Counseling Center, Pllc practices in Lake Elmo, MN. The NPI Number for Integrated Life Counseling Center, Pllc is 1649644634 and holds a License No. CC00241 (Minnesota).

The current practice location address for Integrated Life Counseling Center, Pllc is 8931 33Rd Street N, Lake Elmo, MN and can be reached out via phone at 651-242-9608 and via fax at 651-756-8138.

Location: 8931 33Rd Street N, Lake Elmo, MN, 55042-8900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649644634
Provider Name
Integrated Life Counseling Center, Pllc
Credential
Provider Entity Type
Organization
Address
8931 33Rd Street N, Lake Elmo, MN, 55042-8900
Phone Number
651-242-9608
Fax Number
651-756-8138
Provider Enumeration Date
11/14/2015
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1629138417 05 MN
1225262496 05 MN
1114091709 05 MN
1154562205 05 MN
institution
Provider Business Practice Location Address Details
Address
8931 33Rd Street N
City
Lake Elmo
State
Minnesota
Zip
55042-8900
Phone Number
651-242-9608
Fax Number
651-756-8138
person
Provider Business Mailing Address Details
Address
8931 33Rd Street N
City
Lake Elmo
State
Minnesota
Zip
55042-8900
Phone Number
651-242-9608
Fax Number
651-756-8138
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
920 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
LP3782 (Minnesota)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
CC00241 (Minnesota)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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