Harvodes Bereavement & Loss Center, Inc

NPI 1053569798 - Counselor - 101YA0400X

NPI Details
NPI 1053569798
Enumeration Date 09/07/2008
Last Updated 08/12/2009
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name BILLY BILLY
Position FOUNDER/MENTAL HEALTH CLINICAN
Phone (320) 259-7707
Fax (320) 251-4590
Practice Location
22 WILSON AVE NE
209
SAINT CLOUD MN, 56304-0440, US
Phone (320) 259-7707
Fax (320) 251-4590
Business Location
22 WILSON AVE NE
209
SAINT CLOUD MN, 56304-0440, US
Phone (320) 259-7707
Fax (320) 251-4590
Toxanomy
Taxonomy Code 101YA0400X
License State Minnesota
License Number 300215
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According to our database, Harvodes Bereavement & Loss Center, Inc NPI is 1053569798, taxonomy code is 101YA0400X and license number is 300215, license state is located at Minnesota. Harvodes Bereavement & Loss Center, Inc physically located at 22 Wilson Ave Ne, Saint Cloud MN, 56304-0440. NPI Number 1033115704 has the healthcare provider type.

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1053569798 NPI number is provided on an as is basis without warranty of any kind. 1053569798 is maintained by the National Plan & Provider Enumeration System. The contents of Harvodes Bereavement & Loss Center, Inc are for informational purposes only.