Provider Demographics
NPI:1659581411
Name:PLOURDE, HELEN MARIE (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:MARIE
Last Name:PLOURDE
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:HELEN
Other - Middle Name:MARIE
Other - Last Name:PLOURDE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:1606 HILLCREST AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55116-2147
Mailing Address - Country:US
Mailing Address - Phone:651-690-5202
Mailing Address - Fax:
Practice Address - Street 1:4030 PILOT KNOB RD
Practice Address - Street 2:
Practice Address - City:EAGAN
Practice Address - State:MN
Practice Address - Zip Code:55122-1814
Practice Address - Country:US
Practice Address - Phone:651-690-5202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN929106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist