| Caravel Counseling And Diagnostics Sc | |
|
700 Commerce Dr Ste 260 Woodbury MN 55125-9243 | |
| (920) 857-9041 | |
| Not Available |
| Full Name | Caravel Counseling And Diagnostics Sc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 700 Commerce Dr Ste 260, Woodbury, Minnesota |
| Authorized Official Name and Position | Michael Miller (CEO) |
| Authorized Official Contact | 9208579041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caravel Counseling And Diagnostics Sc 1575 Allouez Ave Green Bay WI 54311-5639 Ph: () - | Caravel Counseling And Diagnostics Sc 700 Commerce Dr Ste 260 Woodbury MN 55125-9243 Ph: (920) 857-9041 |
| NPI Number | 1780258004 |
|---|---|
| Provider Enumeration Date | 05/20/2021 |
| Last Update Date | 05/20/2021 |
| Certification Date | 05/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780258004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Secondary |
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