| Collaborative Restoration Counseling Services, Llc | |
|
15252 W Freeway Dr Ne Suite 1 Forest Lake MN 55025-8120 | |
| (612) 275-3517 | |
| Not Available |
| Full Name | Collaborative Restoration Counseling Services, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 15252 W Freeway Dr Ne, Forest Lake, Minnesota |
| Authorized Official Name and Position | Laura Janelle Mcdermott (FOUNDER/OWNDER) |
| Authorized Official Contact | 6122753517 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Collaborative Restoration Counseling Services, Llc 7500 Cahill Rd 216c Edina MN 55439-2734 Ph: (612) 275-3517 | Collaborative Restoration Counseling Services, Llc 15252 W Freeway Dr Ne Suite 1 Forest Lake MN 55025-8120 Ph: (612) 275-3517 |
| NPI Number | 1699102434 |
|---|---|
| Provider Enumeration Date | 10/10/2013 |
| Last Update Date | 10/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699102434 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 2619 (Minnesota) | Primary |
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