| Eclectic Dragonfly Therapy Services | |
|
108 6th Ave S Princeton MN 55371-1820 | |
| (763) 482-1185 | |
| Not Available |
| Full Name | Eclectic Dragonfly Therapy Services |
|---|---|
| Speciality | Counselor - Professional |
| Location | 108 6th Ave S, Princeton, Minnesota |
| Authorized Official Name and Position | Jacqueline Kelly-faddler (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 7634821185 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eclectic Dragonfly Therapy Services Po Box 213 Princeton MN 55371-0213 Ph: (763) 482-1185 | Eclectic Dragonfly Therapy Services 108 6th Ave S Princeton MN 55371-1820 Ph: (763) 482-1185 |
| NPI Number | 1598120123 |
|---|---|
| Provider Enumeration Date | 12/26/2015 |
| Last Update Date | 12/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598120123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 00842 (Minnesota) | Primary |
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