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MJ MOLLER CONSULTING & COUNSELING LLC NPI 1508115023


NPI Information

NPI: 1508115023
Provider Name: MJ MOLLER CONSULTING & COUNSELING, LLC

Doing Business As: INTRINSICUM POTENTIA COUNSELING

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
366 SELBY AVE STE 200
SAINT PAUL, MN
ZIP 55102
Phone: (612) 280-0475
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MJ MOLLER CONSULTING & COUNSELING, LLC is a mental health counselor in Saint Paul, MN. MJ MOLLER CONSULTING & COUNSELING, LLC NPI is 1508115023. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Intrinsicum Potentia Counseling.

The provider's business location address is:

366 SELBY AVE STE 200
SAINT PAUL, MN
ZIP 55102-886
Phone: (612) 280-0475
Fax: (651) 224-4354

The provider's authorized official is Mark Judson Moller .
The authorized official title is Owner/therapist and has the following contact phone number (612) 280-0475.

The enumeration date for this NPI number is 8/29/2012 and was last updated on 8/29/2012.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental Health01195MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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