Provider Demographics
NPI:1811744162
Name:MONSON, MARIE (LPCC)
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:
Last Name:MONSON
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3700 HARRIET AVE APT 304
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55409-1148
Mailing Address - Country:US
Mailing Address - Phone:701-269-2654
Mailing Address - Fax:
Practice Address - Street 1:370 SELBY AVE STE 215
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-2855
Practice Address - Country:US
Practice Address - Phone:701-269-2654
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-03
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health