Provider Demographics
NPI:1023443819
Name:ZIEN-EDGAR, SCOTT DANIEL (MA, LPCC)
Entity type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:DANIEL
Last Name:ZIEN-EDGAR
Suffix:
Gender:M
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:2925 MONTEREY AVE
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416-5801
Mailing Address - Country:US
Mailing Address - Phone:612-709-0751
Mailing Address - Fax:612-825-0789
Practice Address - Street 1:310 E 38TH ST # 322
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55409-1300
Practice Address - Country:US
Practice Address - Phone:612-824-0415
Practice Address - Fax:612-825-0789
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-11
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN01455101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health