| Bohn Counseling Associates, Inc, | |
|
177 Kale St Mahtomedi MN 55115-1575 | |
| (651) 373-0280 | |
| (651) 686-9899 |
| Full Name | Bohn Counseling Associates, Inc, |
|---|---|
| Speciality | Psychologist |
| Location | 177 Kale St, Mahtomedi, Minnesota |
| Authorized Official Name and Position | Dena Bohn (OWNER) |
| Authorized Official Contact | 6513730280 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bohn Counseling Associates, Inc, 177 Kale St Mahtomedi MN 55115-1575 Ph: (651) 373-0280 | Bohn Counseling Associates, Inc, 177 Kale St Mahtomedi MN 55115-1575 Ph: (651) 373-0280 |
| NPI Number | 1881876050 |
|---|---|
| Provider Enumeration Date | 11/29/2007 |
| Last Update Date | 11/29/2007 |
| Medicare PECOS PAC ID | 4981786548 |
|---|---|
| Medicare Enrollment ID | O20080205000154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881876050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LP3257 (Minnesota) | Primary |
| Provider Name | Dena J Bohn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821049719 PECOS PAC ID: 4789779711 Enrollment ID: I20071004000746 |
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