Paul John Dousi, PHD, LMFT
Individual provider Active NPI Marriage & Family Therapist · Champlin, MN
NPI 1245358076 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1245358076
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 1227 (MN)
- Practice address
- 6300 117TH Ave N
Champlin, MN 55316-2402 - Phone
- (763) 458-0154
- Fax
- (763) 427-5688
- NPI assigned
- Mar 27, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1227 | MN | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1227 | MN | Yes |
Addresses
Primary practice location
6300 117TH Ave N
Champlin, MN 55316-2402
Mailing address
6300 117TH Ave N
Champlin, MN 55316-2402
Phone (763) 458-0154
Other providers in Champlin, MN
- Dentalign, PA
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- Tibli Olandrus Dickson
- Dimensions Chiropractic and Wellness
- Diverse Health and Social Services LLC
- Arielle Dudundane
- Ajibola Jelilat Edwards
- David Andrew Ehlert
- Annalyssa Marie Eigenheer
- Lea Hilda Ekochin
All providers in Champlin, MN · Marriage & Family Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.