Individual provider · NPI-1

Michael Eugene Atkinson, LPCC

Counselor, Mental Health · Edina, MN

NPI number1194583633
StatusActive
Last updated in NPPESMar 11, 2024

Details

NPI
1194583633
Entity type
Individual (NPI-1)
Name
Michael Eugene Atkinson
Credential
LPCC
Sex
Male
Sole proprietor
No
Enumeration date
Mar 11, 2024
Certification date
Mar 9, 2024
Last updated
Mar 11, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health4300MNYes

Practice location

4820 77th St W Ste 130
Edina, MN 55435-4832

Phone 320-591-3559

Mailing address

5136 Valley View Rd
Edina, MN 55436-2645

Phone 612-270-6694

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