Both Sides Counseling | |
711 W Lake St Ste 402 Minneapolis MN 55408-2954 | |
(651) 321-1515 | |
Not Available |
Full Name | Both Sides Counseling |
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Speciality | Clinic/Center |
Location | 711 W Lake St Ste 402, Minneapolis, Minnesota |
Authorized Official Name and Position | Nathan Jay Kavlie (PRACTICE MANAGER AND PARTNER) |
Authorized Official Contact | 6513211515 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Both Sides Counseling 711 W Lake St Ste 402 Minneapolis MN 55408-2954 Ph: (651) 321-1515 | Both Sides Counseling 711 W Lake St Ste 402 Minneapolis MN 55408-2954 Ph: (651) 321-1515 |
NPI Number | 1366000135 |
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Provider Enumeration Date | 06/05/2019 |
Last Update Date | 05/20/2024 |
Certification Date | 05/20/2024 |
Medicare PECOS PAC ID | 2860937364 |
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Medicare Enrollment ID | O20240709002087 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366000135 | NPI | - | NPPES |
Provider Name | Kathryn Harrold |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1215174073 PECOS PAC ID: 4880139393 Enrollment ID: I20240709002341 |
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