NPI 1831714245
Shea Mackenzie House, CGC
Practice location
- Address
- 3931 Louisiana Ave S Suite E315, St Louis Park, MN 55426
- Phone
- (952) 993-5381
- Fax
- (952) 993-6539
Registered specialties (3)
Genetic Counselor (M.S.)
Primary
Genetic Counselor (M.S.)
Genetic Counselor (M.S.)
Registry record
- NPI
- 1831714245
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Jun 2020
- Record last updated
- 15 May 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.