Life Interrupted Counseling Services
NPI #1033821632 in Burnsville, Minnesota
Provider Information
- NPI Number
- 1033821632
- Entity Type
- Organization
- Organization Name
- Life Interrupted Counseling Services
- Primary Specialty
- Clinic/Center - Adolescent and Children Mental Health
- Enumeration Date
- Dec 15, 2022
- Last Updated
- Jan 18, 2024
Practice Location
- Address
- 1500 MCANDREWS RD W STE 215
- City
- Burnsville
- State
- Minnesota
- ZIP Code
- 55337-4445
- Phone
- (952) 222-3002
Authorized Official
- Name
- MARY L CHEDDA, MM, MA, LMFT
- Title
- CEO/SOLE PROPRIETOR
- Phone
- (651) 338-8643
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
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