Divine Counseling & Consulting Services, Pllc | |
110 2nd St S Suite 222 Waite Park MN 56387-1662 | |
(320) 259-7022 | |
(320) 759-7059 |
Full Name | Divine Counseling & Consulting Services, Pllc |
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Speciality | Counselor - Professional |
Location | 110 2nd St S, Waite Park, Minnesota |
Authorized Official Name and Position | Michelle Lynn Beeman (OWNER) |
Authorized Official Contact | 3208088164 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Divine Counseling & Consulting Services, Pllc 110 2nd St S Suite 222 Waite Park MN 56387-1662 Ph: (320) 259-7022 | Divine Counseling & Consulting Services, Pllc 110 2nd St S Suite 222 Waite Park MN 56387-1662 Ph: (320) 259-7022 |
NPI Number | 1558776120 |
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Provider Enumeration Date | 06/23/2014 |
Last Update Date | 06/23/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558776120 | NPI | - | NPPES |
1033269162 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 00056 (Minnesota) | Primary |
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