| Consilon | |
|
8744 67th Street Ct S Cottage Grove MN 55016-1600 | |
| (651) 356-5216 | |
| (651) 797-3061 |
| Full Name | Consilon |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 8744 67th Street Ct S, Cottage Grove, Minnesota |
| Authorized Official Name and Position | Lee Vang Thao (OWNER) |
| Authorized Official Contact | 6513565216 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Consilon 8744 67th Street Ct S Cottage Grove MN 55016-1600 Ph: (651) 356-5216 | Consilon 8744 67th Street Ct S Cottage Grove MN 55016-1600 Ph: (651) 356-5216 |
| NPI Number | 1437653243 |
|---|---|
| Provider Enumeration Date | 03/19/2018 |
| Last Update Date | 03/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437653243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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