Provider Demographics
NPI:1699100909
Name:MITCHELTREE, MARINA JOANNE (MA, LPCC)
Entity type:Individual
Prefix:
First Name:MARINA
Middle Name:JOANNE
Last Name:MITCHELTREE
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Gender:F
Credentials:MA, LPCC
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Mailing Address - Street 1:3395 PLYMOUTH RD
Mailing Address - Street 2:ST. DAVID'S CENTER FOR CHILD & FAMILY DEVELOPMENT
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55305-3765
Mailing Address - Country:US
Mailing Address - Phone:952-939-0396
Mailing Address - Fax:952-548-8760
Practice Address - Street 1:3395 PLYMOUTH RD
Practice Address - Street 2:ST. DAVID'S CENTER FOR CHILD & FAMILY DEVELOPMENT
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55305-3765
Practice Address - Country:US
Practice Address - Phone:952-939-0396
Practice Address - Fax:952-548-8760
Is Sole Proprietor?:No
Enumeration Date:2013-09-05
Last Update Date:2025-01-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MNCC00376101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional