Healing Moments Counseling Llc

NPI 1043505373 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1043505373
Enumeration Date 06/15/2011
Last Updated 05/17/2016
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name KATHLEEN ROSE-PENKALA KATHLEEN
Position OWNER AND PRESIDENT
Phone (763) 463-9547
Fax
Practice Location
1125 S CEDAR STREET
SUITE 112
MONTICELLO MN, 55362, US
Phone (763) 463-9547
Fax
Business Location
9766 FALLON AVE NE
SUITE 201 & 202
MONTICELLO MN, 55362-4588, US
Phone (763) 732-3351
Fax
Toxanomy
Taxonomy Code 251S00000X
License State Minnesota
License Number 305
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According to our database, Healing Moments Counseling Llc NPI is 1043505373, taxonomy code is 251S00000X and license number is 305, license state is located at Minnesota. Healing Moments Counseling Llc physically located at 1125 S Cedar Street, Monticello MN, 55362. NPI Number 1033115704 has the healthcare provider type.

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1043505373 NPI number is provided on an as is basis without warranty of any kind. 1043505373 is maintained by the National Plan & Provider Enumeration System. The contents of Healing Moments Counseling Llc are for informational purposes only.