| Cosan Leighis Llc | |
|
145 2nd St W Wabasha MN 55981-1245 | |
| (715) 279-8591 | |
| Not Available |
| Full Name | Cosan Leighis Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 145 2nd St W, Wabasha, Minnesota |
| Authorized Official Name and Position | Colleen Etzbach (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 7152798591 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cosan Leighis Llc Po Box 204 Wabasha MN 55981-0204 Ph: (715) 279-8591 | Cosan Leighis Llc 145 2nd St W Wabasha MN 55981-1245 Ph: (715) 279-8591 |
| NPI Number | 1457066284 |
|---|---|
| Provider Enumeration Date | 01/17/2023 |
| Last Update Date | 01/17/2023 |
| Certification Date | 01/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457066284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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