| Cor Counseling Services Llc | |
|
646 E River Rd Ste 1 Anoka MN 55303 | |
| (637) 427-1950 | |
| (763) 427-7006 |
| Full Name | Cor Counseling Services Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 646 E River Rd Ste 1, Anoka, Minnesota |
| Authorized Official Name and Position | Suzanne Lee (PARTNER) |
| Authorized Official Contact | 7634271950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cor Counseling Services Llc 646 E River Rd Ste 1 Anoka MN 55303-1891 Ph: (637) 427-1950 | Cor Counseling Services Llc 646 E River Rd Ste 1 Anoka MN 55303 Ph: (637) 427-1950 |
| NPI Number | 1144575994 |
|---|---|
| Provider Enumeration Date | 07/18/2012 |
| Last Update Date | 11/21/2018 |
| Medicare PECOS PAC ID | 3870722317 |
|---|---|
| Medicare Enrollment ID | O20140204000803 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144575994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084B0040X | Psychiatry & Neurology - Behavioral Neurology & Neuropsychiatry | 362576 (Minnesota) | Primary |
| Provider Name | Suzanne M Lee |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1275709222 PECOS PAC ID: 7214089846 Enrollment ID: I20090713000533 |
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