Upper Sioux Community

NPI 1962549022 - Counselor - 101YA0400X

NPI Details
NPI 1962549022
Enumeration Date 01/30/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JOE JOE
Position CD COUNSELOR
Phone (320) 564-2360
Fax (320) 564-2550
Practice Location
5744 HWY 67
GRANITE FALLS MN, 56241, US
Phone (320) 564-2360
Fax (320) 564-2550
Business Location
PO BOX 147
GRANITE FALLS MN, 56241-0147, US
Phone (320) 564-2360
Fax (320) 564-2550
Toxanomy
Taxonomy Code 101YA0400X
License State Minnesota
License Number 301298
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According to our database, Upper Sioux Community NPI is 1962549022, taxonomy code is 101YA0400X and license number is 301298, license state is located at Minnesota. Upper Sioux Community physically located at 5744 Hwy 67, Granite Falls MN, 56241. NPI Number 1033115704 has the healthcare provider type.

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1962549022 NPI number is provided on an as is basis without warranty of any kind. 1962549022 is maintained by the National Plan & Provider Enumeration System. The contents of Upper Sioux Community are for informational purposes only.