Cobalt Blue Counseling Pc | |
3815 Pleasant Lake North Eveleth MN 55734 | |
(218) 994-1958 | |
Not Available |
Full Name | Cobalt Blue Counseling Pc |
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Speciality | Clinic/Center |
Location | 3815 Pleasant Lake North, Eveleth, Minnesota |
Authorized Official Name and Position | Judy Dreffs-strumbell (OWNER/THERAPIST) |
Authorized Official Contact | 2189941958 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cobalt Blue Counseling Pc 3815 Pleasant Lake North Eveleth MN 55734 Ph: (218) 744-4261 | Cobalt Blue Counseling Pc 3815 Pleasant Lake North Eveleth MN 55734 Ph: (218) 994-1958 |
NPI Number | 1922536481 |
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Provider Enumeration Date | 05/30/2017 |
Last Update Date | 10/26/2018 |
Medicare PECOS PAC ID | 6204171481 |
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Medicare Enrollment ID | O20181217000410 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922536481 | NPI | - | NPPES |
1053771378 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Judy A Dreffs Strumbell |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053771378 PECOS PAC ID: 6002196805 Enrollment ID: I20161214000736 |
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