| Fresh Start Counseling | |
|
3808 83rd Ave N Brooklyn Park MN 55443-2753 | |
| (763) 746-6553 | |
| Not Available |
| Full Name | Fresh Start Counseling |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3808 83rd Ave N, Brooklyn Park, Minnesota |
| Authorized Official Name and Position | Glenn Douglas Smith (COUNSELOR) |
| Authorized Official Contact | 7637466553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Start Counseling 3808 83rd Ave N Brooklyn Park MN 55443-2753 Ph: (763) 746-6553 | Fresh Start Counseling 3808 83rd Ave N Brooklyn Park MN 55443-2753 Ph: (763) 746-6553 |
| NPI Number | 1538777131 |
|---|---|
| Provider Enumeration Date | 07/20/2020 |
| Last Update Date | 07/20/2020 |
| Certification Date | 07/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538777131 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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