Brave Soul Counseling Services
NPI #1457724205 in St Paul Park, Minnesota
Provider Information
- NPI Number
- 1457724205
- Entity Type
- Organization
- Organization Name
- Brave Soul Counseling Services
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Nov 2, 2015
- Last Updated
- Feb 10, 2020
Practice Location
- Address
- 445 BROADWAY AVE STE A
- City
- St Paul Park
- State
- Minnesota
- ZIP Code
- 55071-1554
- Phone
- (612) 242-1224
Authorized Official
- Name
- MS. JILL M. ELLINGSON, MA, LMFT
- Title
- OWNER & CLINICAL DIRECTOR
- Phone
- (612) 242-1224
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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