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North Suburban Counseling Ctr

Case Management in Coon Rapids, MN. Organization (NPI-2).

NPI number1043311368
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1043311368
Entity type
Organization (NPI-2)
Legal business name
North Suburban Counseling Ctr
Organization subpart
No
Enumeration date
Sep 26, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management801741MHCMNYes

Practice location

425 Coon Rapids Blvd
#200
Coon Rapids, MN 55433

Phone 763-784-3008 · Fax 763-784-3647

Mailing address

425 Coon Rapids Blvd
#200
Coon Rapids, MN 55433

Phone 763-784-3008 · Fax 763-784-3647

Authorized official

Gretchen M Wescheshermay
Executive Director
7637843008

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