| Cooliodge Counseling Services, Inc | |
|
12330 Lindstrom Ln Lindstrom MN 55045-9551 | |
| (612) 799-8532 | |
| Not Available |
| Full Name | Cooliodge Counseling Services, Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 12330 Lindstrom Ln, Lindstrom, Minnesota |
| Authorized Official Name and Position | Jennifer Lynne Coolidge (OWNER) |
| Authorized Official Contact | 6127998532 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cooliodge Counseling Services, Inc 12330 Lindstrom Ln Lindstrom MN 55045-9551 Ph: (612) 799-8532 | Cooliodge Counseling Services, Inc 12330 Lindstrom Ln Lindstrom MN 55045-9551 Ph: (612) 799-8532 |
| NPI Number | 1699480590 |
|---|---|
| Provider Enumeration Date | 01/16/2023 |
| Last Update Date | 01/16/2023 |
| Certification Date | 01/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699480590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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