| Center For Counseling And Wellness | |
|
333 Grand Ave Ste 205 Saint Paul MN 55102-2583 | |
| (651) 294-2307 | |
| (651) 233-5641 |
| Full Name | Center For Counseling And Wellness |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 333 Grand Ave Ste 205, Saint Paul, Minnesota |
| Authorized Official Name and Position | Jennie Yngsdahl (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 6512942307 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Counseling And Wellness 333 Grand Ave Ste 205 Saint Paul MN 55102-2583 Ph: (651) 294-2307 | Center For Counseling And Wellness 333 Grand Ave Ste 205 Saint Paul MN 55102-2583 Ph: (651) 294-2307 |
| NPI Number | 1417233701 |
|---|---|
| Provider Enumeration Date | 10/31/2011 |
| Last Update Date | 10/31/2011 |
| Medicare PECOS PAC ID | 1759727787 |
|---|---|
| Medicare Enrollment ID | O20240312003031 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417233701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LP 4935 (Minnesota) | Primary |
| Provider Name | Kyle P Murray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720594187 PECOS PAC ID: 5092056614 Enrollment ID: I20190409001891 |
| Provider Name | Jennie Yngsdahl |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194821777 PECOS PAC ID: 9638515661 Enrollment ID: I20240312003216 |
| Provider Name | Kimberly V Heffron-reitzel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366578023 PECOS PAC ID: 5597104711 Enrollment ID: I20240419001830 |
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