Counseling Kids And Adults Llc

NPI 1174955397 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1174955397
Enumeration Date 07/30/2013
Last Updated 10/16/2015
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name CARLA CARLA
Position OWNER/THERAPIST
Phone (651) 755-4276
Fax (415) 429-0136
Practice Location
12732 LAKE BLVD # 103
LINDSTROM MN, 55045-9342, US
Phone (651) 755-4276
Fax (415) 429-0136
Business Location
PO BOX 974
LINDSTROM MN, 55045-0974, US
Phone (651) 755-4276
Fax (415) 429-0136
Toxanomy
Taxonomy Code 251S00000X
License State
License Number
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According to our database, Counseling Kids And Adults Llc NPI is 1174955397, taxonomy code is 251S00000X Counseling Kids And Adults Llc physically located at 12732 Lake Blvd # 103, Lindstrom MN, 55045-9342. NPI Number 1033115704 has the healthcare provider type.

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1174955397 NPI number is provided on an as is basis without warranty of any kind. 1174955397 is maintained by the National Plan & Provider Enumeration System. The contents of Counseling Kids And Adults Llc are for informational purposes only.