| Blue Star Services Llc | |
|
3339 W Saint Germain St Ste 101 Saint Cloud MN 56301-7345 | |
| (763) 703-0976 | |
| Not Available |
| Full Name | Blue Star Services Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3339 W Saint Germain St Ste 101, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Abdighani Ahmed (OWNER) |
| Authorized Official Contact | 7637030976 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Star Services Llc 3339 W Saint Germain St Ste 101 Saint Cloud MN 56301-7345 Ph: () - | Blue Star Services Llc 3339 W Saint Germain St Ste 101 Saint Cloud MN 56301-7345 Ph: (763) 703-0976 |
| NPI Number | 1669207478 |
|---|---|
| Provider Enumeration Date | 09/03/2024 |
| Last Update Date | 09/03/2024 |
| Certification Date | 09/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669207478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | (* (Not Available)) | Secondary |
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