Pure Potential Counseling

NPI #1295357440 in Farmington, Minnesota

Provider Information

NPI Number: 1295357440
Entity Type: Organization
Organization Name: Pure Potential Counseling
Primary Specialty: Psychologist - Counseling
Enumeration Date: May 11, 2020
Last Updated: May 11, 2020

Practice Location

Address: 18685 DYLAN DR
City: Farmington
State: Minnesota
ZIP Code: 55024-7070
Phone: (507) 210-6898

Authorized Official

Name: KATHERINE SUE DEREGNIER, M.ED.
Title: LPCC
Phone: (507) 210-6898

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Counseling — Counseling	103TC1900X	Primary

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