Northeast Counseling, P.a.

NPI 1053596577 - Clinic/Center - 261QM0855X

NPI Details
NPI 1053596577
Enumeration Date 01/03/2008
Last Updated 01/03/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name TIM G TIM
Position PRESIDENT
Phone (651) 398-6341
Fax
Practice Location
2697 COUNTY ROAD E E
SUITE 530
WHITE BEAR LAKE MN, 55110-4908, US
Phone (651) 398-6341
Fax
Business Location
2697 COUNTY ROAD E E
SUITE 530
WHITE BEAR LAKE MN, 55110-4908, US
Phone (651) 398-6341
Fax
Toxanomy
Taxonomy Code 261QM0855X
License State
License Number
Remove 1053596577 NPI Number
 

According to our database, Northeast Counseling, P.a. NPI is 1053596577, taxonomy code is 261QM0855X Northeast Counseling, P.a. physically located at 2697 County Road E E, White Bear Lake MN, 55110-4908. NPI Number 1033115704 has the healthcare provider type.

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1053596577 NPI number is provided on an as is basis without warranty of any kind. 1053596577 is maintained by the National Plan & Provider Enumeration System. The contents of Northeast Counseling, P.a. are for informational purposes only.