The Haven In Waconia | |
233 W 1st St Waconia MN 55387-1302 | |
(952) 442-6227 | |
Not Available |
Full Name | The Haven In Waconia |
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Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 233 W 1st St, Waconia, Minnesota |
Authorized Official Name and Position | Tedd Herman (CEO) |
Authorized Official Contact | 6128954605 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Haven In Waconia 2101 Wooddale Dr Ste B Woodbury MN 55125-4442 Ph: () - | The Haven In Waconia 233 W 1st St Waconia MN 55387-1302 Ph: (952) 442-6227 |
NPI Number | 1750099230 |
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Provider Enumeration Date | 11/14/2022 |
Last Update Date | 08/02/2024 |
Certification Date | 08/02/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750099230 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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