Waconia Counseling Services Pllc

NPI 1013282946 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1013282946
Enumeration Date 03/10/2012
Last Updated 03/10/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name PATRICK GORDON PATRICK
Position OWNER
Phone (612) 636-0136
Fax (952) 442-8607
Practice Location
1992 STARLIGHT DR
WACONIA MN, 55387-8607, US
Phone (612) 636-0136
Fax (952) 442-8607
Business Location
1992 STARLIGHT DR
WACONIA MN, 55387-8607, US
Phone (612) 636-0136
Fax (952) 442-8607
Toxanomy
Taxonomy Code 251S00000X
License State Minnesota
License Number 5459
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According to our database, Waconia Counseling Services Pllc NPI is 1013282946, taxonomy code is 251S00000X and license number is 5459, license state is located at Minnesota. Waconia Counseling Services Pllc physically located at 1992 Starlight Dr, Waconia MN, 55387-8607. NPI Number 1033115704 has the healthcare provider type.

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1013282946 NPI number is provided on an as is basis without warranty of any kind. 1013282946 is maintained by the National Plan & Provider Enumeration System. The contents of Waconia Counseling Services Pllc are for informational purposes only.