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General NPI Number Information
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NPI Number | 1306710165
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Entity Type | Organization
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Legal Business Name | INTEGRATION PSYCHOTHERAPY AND WELLNESS PLLC
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Dates
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Enumeration Date | 10/03/2025
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 5353 WAYZATA BLVD STE 402
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City | ST LOUIS PARK
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State | MN
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Zip | 55416-1345
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Country | US
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Telephone | 612-749-2888
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Fax |
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Provider Business Mailing Address
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Address Line | 2108 LAUREL AVE
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City | MINNEAPOLIS
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State | MN
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Zip | 55405-2026
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Country | US
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Telephone | 612-749-2888
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Fax |
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Authorized Official
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Title or Position | CEO/PSYCHOLOGIST
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Name | JESSICA BELL
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Credential | PSYD, LP
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Telephone | 612-749-2888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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