OrganizationActive
Affiliated Counseling Center
NPI 1194836064 · Psychologist · Fridley, MN
Provider details
- NPI number
- 1194836064
- Entity type
- Organization
- Primary specialty
- PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Paul Martinson, Clinic Director(763) 572-2605
- License
- LPC 103 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
7260 University Ave Ne
Suite 235
Fridley, MN 55432-3126
Phone: (763) 572-2605
Fax: (763) 572-2606
Approximate (ZIP-level) locationGet directions
Mailing address
7260 University Ave Ne
Fridley, MN 55432-3126
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.