| Core Restore Counseling, Llc | |
|
12760 Aberdeen St Ne Ste 205 Blaine MN 55449-5847 | |
| (763) 286-4257 | |
| (763) 432-7424 |
| Full Name | Core Restore Counseling, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 12760 Aberdeen St Ne Ste 205, Blaine, Minnesota |
| Authorized Official Name and Position | Stephanie K Rossing (CO-OWNER) |
| Authorized Official Contact | 7632864257 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Core Restore Counseling, Llc 12760 Aberdeen St Ne Ste 205 Blaine MN 55449-5847 Ph: (763) 286-4257 | Core Restore Counseling, Llc 12760 Aberdeen St Ne Ste 205 Blaine MN 55449-5847 Ph: (763) 286-4257 |
| NPI Number | 1598099871 |
|---|---|
| Provider Enumeration Date | 09/20/2009 |
| Last Update Date | 09/20/2009 |
| Medicare PECOS PAC ID | 5395186704 |
|---|---|
| Medicare Enrollment ID | O20240516002260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598099871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1185 (Minnesota) | Primary |
| Provider Name | Stephanie Keeffe Rossing |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1043378573 PECOS PAC ID: 1658712062 Enrollment ID: I20240516002318 |
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