| Abc Family Counseling, Inc. | |
|
229 Jackson St Suite 136 Anoka MN 55303-2254 | |
| (763) 227-8076 | |
| (763) 421-7892 |
| Full Name | Abc Family Counseling, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 229 Jackson St, Anoka, Minnesota |
| Authorized Official Name and Position | Robert N Wilson (PRESIDENT) |
| Authorized Official Contact | 7632278076 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abc Family Counseling, Inc. 229 Jackson St Suite 136 Anoka MN 55303-2254 Ph: (763) 227-8076 | Abc Family Counseling, Inc. 229 Jackson St Suite 136 Anoka MN 55303-2254 Ph: (763) 227-8076 |
| NPI Number | 1710042486 |
|---|---|
| Provider Enumeration Date | 12/23/2006 |
| Last Update Date | 06/09/2014 |
| Medicare PECOS PAC ID | 0042226714 |
|---|---|
| Medicare Enrollment ID | O20060306000021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710042486 | NPI | - | NPPES |
| 8L408WI | Other | MN | BCBS CLINIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP-0869 (Minnesota) | Primary |
| Provider Name | Robert N Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356406011 PECOS PAC ID: 2365341666 Enrollment ID: I20040106000451 |
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