Integrated Life Counseling Center, PLLC
NPI 1649644634 · Clinical Psychologist · Lake Elmo, MN
Integrated Life Counseling Center, PLLC is a Clinical Psychologist organization in Lake Elmo, MN (NPI 1649644634).
Provider details
- NPI number
- 1649644634
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Tracy Swanson, Director of Communications(651) 242-9608
- License
- CC00241 (MN)
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-11-14
- Last updated
- 2016-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.