| 61 Experience | |
|
1 Water St W Ste 230 Saint Paul MN 55107-2002 | |
| (612) 418-9429 | |
| Not Available |
| Full Name | 61 Experience |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1 Water St W Ste 230, Saint Paul, Minnesota |
| Authorized Official Name and Position | Ryan Eckdahl (PRESIDENT) |
| Authorized Official Contact | 6124189429 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 61 Experience 3822 Regent Ave N Robbinsdale MN 55422-2019 Ph: (612) 418-9429 | 61 Experience 1 Water St W Ste 230 Saint Paul MN 55107-2002 Ph: (612) 418-9429 |
| NPI Number | 1053948315 |
|---|---|
| Provider Enumeration Date | 03/26/2020 |
| Last Update Date | 03/26/2020 |
| Certification Date | 03/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053948315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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