Bosak Mischke INC.
Psychologist, Counseling in Saint Paul, MN. Organization (NPI-2).
NPI number1669733762
StatusActive
Last updated in NPPESJun 5, 2012
Details
- NPI
- 1669733762
- Entity type
- Organization (NPI-2)
- Legal business name
- Bosak Mischke INC.
- Organization subpart
- No
- Enumeration date
- Jun 5, 2012
- Last updated
- Jun 5, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC1900X | Psychologist, Counseling | LP2396 | MN | Yes |
| 1041C0700X | Social Worker, Clinical | 4213 | MN |
Practice location
821 Raymond Ave#300
Saint Paul, MN 55114-1525
Phone 651-647-0659 · Fax 651-646-1424
Mailing address
821 Raymond Ave#300
Saint Paul, MN 55114-1525
Phone 651-647-0659 · Fax 651-646-1424
Authorized official
John Mischke
President
6516470659
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