Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Minuteclinic Diagnostic of Minnesota, PA

Organization Professional Counselor · NPI 1609551472

Minuteclinic Diagnostic of Minnesota, PA is a Professional Counselor in Eagan, Minnesota. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4241 Johnny Cake Ridge Rd
Eagan, MN 55122-2235
Phone: (855) 417-2486
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Professional Counselor Taxonomy 101YP2500X
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1609551472
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deborah Pincince — Administrator · (401) 770-3813
NPI enumeratedJune 20, 2023
Last updated in NPPESJune 20, 2023
Certification dateJune 8, 2023
Mailing addressPo Box 772, Woonsocket, RI 02895-0784

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