61 EXPERIENCE NPI 1053948315

NPI Information

61 EXPERIENCE is a mental health counselor in Saint Paul, MN. 61 EXPERIENCE NPI is 1053948315. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1 WATER ST W STE 230
SAINT PAUL, MN
ZIP 55107-002
Phone: (612) 418-9429

The provider's authorized official is Ryan Eckdahl .
The authorized official title is President and has the following contact phone number (612) 418-9429.

The enumeration date for this NPI number is 3/26/2020 and was last updated on 3/26/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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