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NPI Code Detail

MEDICARE: JOAN PLAISANCE LPCC

MEDICARE: JOAN PLAISANCE LPCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WP0808XPsychiatric/Mental Health Registered NurseR78605-2MN
2101YM0800XMental Health CounselorCC02161MN

General Provider Information

NPI Number : 1679121263
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOAN PLAISANCE LPCC
Provider Business Mailing Address
First Line : 14300 NICOLLET CT STE 130
Second Line :
City : BURNSVILLE
State : MN
Zip : 55306-3422
Country : US
Telephone Number : 952-435-8814
Fax Number :
Provider Business Practice Location Address
First Line : 14300 NICOLLET CT STE 130
Second Line :
City : BURNSVILLE
State : MN
Zip : 55306-3422
Country : US
Telephone Number : 952-435-8814
Fax Number : 952-435-7705
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2019
Last Update Date : 08/28/2019

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Directions to “ JOAN PLAISANCE LPCC” Practice Location

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