| East Metro Family Counseling, Llc | |
|
700 Commerce Dr Suite 295 Woodbury MN 55125-9232 | |
| (651) 408-5132 | |
| (651) 735-7844 |
| Full Name | East Metro Family Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 700 Commerce Dr, Woodbury, Minnesota |
| Authorized Official Name and Position | Mitchell Arnold Leppicello (OWNER, CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6514085132 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Metro Family Counseling, Llc 700 Commerce Dr Suite 295 Woodbury MN 55125-9232 Ph: (651) 408-5132 | East Metro Family Counseling, Llc 700 Commerce Dr Suite 295 Woodbury MN 55125-9232 Ph: (651) 408-5132 |
| NPI Number | 1962797688 |
|---|---|
| Provider Enumeration Date | 06/10/2011 |
| Last Update Date | 12/17/2013 |
| Medicare PECOS PAC ID | 9133397821 |
|---|---|
| Medicare Enrollment ID | O20110725000283 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962797688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 9173 (Minnesota) | Primary |
| Provider Name | Mitchell A Leppicello |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437234994 PECOS PAC ID: 0749458438 Enrollment ID: I20110725000330 |
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