Behavioral Wellness Counseling Clinic, Llc

NPI 1033545439 - Counselor - 101YP2500X

NPI Details
NPI 1033545439
Enumeration Date 09/18/2013
Last Updated 09/18/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name TRACY LEE KLING TRACY
Position DIRECTOR
Phone (952) 440-3100
Fax (952) 440-3100
Practice Location
14093 COMMERCE AVE NE
PRIOR LAKE MN, 55372-1495, US
Phone (952) 440-3100
Fax (952) 440-3100
Business Location
14093 COMMERCE AVE NE
PRIOR LAKE MN, 55372-1495, US
Phone (952) 440-3100
Fax (952) 440-3100
Toxanomy
Taxonomy Code 101YP2500X
License State Minnesota
License Number LPCC
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According to our database, Behavioral Wellness Counseling Clinic, Llc NPI is 1033545439, taxonomy code is 101YP2500X and license number is LPCC, license state is located at Minnesota. Behavioral Wellness Counseling Clinic, Llc physically located at 14093 Commerce Ave Ne, Prior Lake MN, 55372-1495. NPI Number 1033115704 has the healthcare provider type.

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1033545439 NPI number is provided on an as is basis without warranty of any kind. 1033545439 is maintained by the National Plan & Provider Enumeration System. The contents of Behavioral Wellness Counseling Clinic, Llc are for informational purposes only.