| Colleen Morrissette, Pllc | |
|
3340 Republic Ave St Louis Park MN 55426-4154 | |
| (651) 705-6892 | |
| (612) 926-8526 |
| Full Name | Colleen Morrissette, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3340 Republic Ave, St Louis Park, Minnesota |
| Authorized Official Name and Position | Mary Colleen Morrissette (OWNER/LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 6517056892 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colleen Morrissette, Pllc 3340 Republic Ave St Louis Park MN 55426-4154 Ph: () - | Colleen Morrissette, Pllc 3340 Republic Ave St Louis Park MN 55426-4154 Ph: (651) 705-6892 |
| NPI Number | 1881184778 |
|---|---|
| Provider Enumeration Date | 05/16/2018 |
| Last Update Date | 05/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881184778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | LP5891 (Minnesota) | Primary |
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