| Chart Your Course Therapeutic Services | |
|
6900 Ives Ln N Maple Grove MN 55369-5414 | |
| (763) 670-2289 | |
| Not Available |
| Full Name | Chart Your Course Therapeutic Services |
|---|---|
| Speciality | Counselor - Professional |
| Location | 6900 Ives Ln N, Maple Grove, Minnesota |
| Authorized Official Name and Position | Priscilla Wilson (THERAPIST) |
| Authorized Official Contact | 7632730671 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chart Your Course Therapeutic Services 6900 Ives Ln N Maple Grove MN 55369-5414 Ph: (763) 670-2289 | Chart Your Course Therapeutic Services 6900 Ives Ln N Maple Grove MN 55369-5414 Ph: (763) 670-2289 |
| NPI Number | 1568088698 |
|---|---|
| Provider Enumeration Date | 06/24/2020 |
| Last Update Date | 06/24/2020 |
| Certification Date | 06/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568088698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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