Justin Shedivy
Justin Shedivy is a Counselor in New Brighton, Minnesota. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
1900 Silver Lake Rd NW Ste 110New Brighton, MN 55112-1786
Phone: (651) 628-9566
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1174807333 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | October 6, 2011 |
| Last updated in NPPES | October 6, 2011 |
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Dakota Therapy
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Marsha Dettloff
1900 Silver Lake Rd NW, New Brighton, MN 55112-1786 · (651) 628-9566
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Lydia Musiimenta Heaney
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Ethan Bjorn Roe
1900 Silver Lake Rd NW Ste 110, New Brighton, MN 55112-1789 · (651) 419-4351