| Community Counseling Clinic | |
|
700 Twelve Oaks Center Dr Ste. 734 Wayzata MN 55391-4401 | |
| (952) 258-0668 | |
| (612) 235-3384 |
| Full Name | Community Counseling Clinic |
|---|---|
| Speciality | Psychologist |
| Location | 700 Twelve Oaks Center Dr, Wayzata, Minnesota |
| Authorized Official Name and Position | Sue Hierl (OFFICE MANAGER) |
| Authorized Official Contact | 9522580668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Counseling Clinic 16725 12th Ave N Plymouth MN 55447-3001 Ph: (763) 473-3692 | Community Counseling Clinic 700 Twelve Oaks Center Dr Ste. 734 Wayzata MN 55391-4401 Ph: (952) 258-0668 |
| NPI Number | 1487739819 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487739819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | LP1597 (Minnesota) | Primary |
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