| Counseling & Mediation Solutions | |
|
407 W Broadway Ave Forest Lake MN 55025-1402 | |
| (651) 307-4993 | |
| Not Available |
| Full Name | Counseling & Mediation Solutions |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 407 W Broadway Ave, Forest Lake, Minnesota |
| Authorized Official Name and Position | Debra Ann Nelson (OWNER) |
| Authorized Official Contact | 6513074993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling & Mediation Solutions 407 W Broadway Ave Forest Lake MN 55025-1402 Ph: (651) 307-4993 | Counseling & Mediation Solutions 407 W Broadway Ave Forest Lake MN 55025-1402 Ph: (651) 307-4993 |
| NPI Number | 1114771656 |
|---|---|
| Provider Enumeration Date | 04/12/2024 |
| Last Update Date | 05/02/2024 |
| Certification Date | 05/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114771656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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