Provider Demographics
NPI:1669185377
Name:MORIN, DOROTHEE MARIE (MA, LADC, LPCC)
Entity type:Individual
Prefix:
First Name:DOROTHEE
Middle Name:MARIE
Last Name:MORIN
Suffix:
Gender:F
Credentials:MA, LADC, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9910 BRIAR RD APT 413
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55437-2296
Mailing Address - Country:US
Mailing Address - Phone:195-222-0803
Mailing Address - Fax:
Practice Address - Street 1:1619 PORTLAND AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-1507
Practice Address - Country:US
Practice Address - Phone:612-373-3366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-28
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC03628101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional