| Citrine Psychological Services Ltd | |
|
10150 City Walk Dr Ste A1 Woodbury MN 55129-9257 | |
| (651) 703-1681 | |
| Not Available |
| Full Name | Citrine Psychological Services Ltd |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 10150 City Walk Dr Ste A1, Woodbury, Minnesota |
| Authorized Official Name and Position | Brittany Henderson (PRESIDENT/CEO) |
| Authorized Official Contact | 6517031681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Citrine Psychological Services Ltd 665 Kingfisher Ln Apt C Woodbury MN 55125-1843 Ph: (651) 703-1681 | Citrine Psychological Services Ltd 10150 City Walk Dr Ste A1 Woodbury MN 55129-9257 Ph: (651) 703-1681 |
| NPI Number | 1932973930 |
|---|---|
| Provider Enumeration Date | 11/09/2023 |
| Last Update Date | 11/09/2023 |
| Certification Date | 10/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932973930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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