Associated Counseling Services, Pllc | |
2625 Edgerton St Little Canada MN 55117-1620 | |
(651) 484-1544 | |
(651) 415-1337 |
Full Name | Associated Counseling Services, Pllc |
---|---|
Speciality | Psychologist - Forensic |
Location | 2625 Edgerton St, Little Canada, Minnesota |
Authorized Official Name and Position | Gail Rose Maudal (PRESIDENT) |
Authorized Official Contact | 6514841544 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Associated Counseling Services, Pllc 2625 Edgerton St Little Canada MN 55117-1620 Ph: (651) 484-1544 | Associated Counseling Services, Pllc 2625 Edgerton St Little Canada MN 55117-1620 Ph: (651) 484-1544 |
NPI Number | 1093859332 |
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Provider Enumeration Date | 02/19/2007 |
Last Update Date | 02/01/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093859332 | NPI | - | NPPES |
1093859332 | Other | MN | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TF0200X | Psychologist - Forensic | LP1096 (Minnesota) | Primary |
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