| Generations: Community Support Services | |
|
60 Marie Ave E Saint Paul MN 55118-5910 | |
| (651) 552-9071 | |
| (651) 552-9874 |
| Full Name | Generations: Community Support Services |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 60 Marie Ave E, Saint Paul, Minnesota |
| Authorized Official Name and Position | Kathleen Joan Gorman (PRESIDENT) |
| Authorized Official Contact | 6126761604 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Generations: Community Support Services 2649 Park Ave S. Minneapolis MN 55047 Ph: (612) 676-1604 | Generations: Community Support Services 60 Marie Ave E Saint Paul MN 55118-5910 Ph: (651) 552-9071 |
| NPI Number | 1336230713 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 04/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336230713 | NPI | - | NPPES |
| 1534157 00 | Other | MN | MA - BEKAH SALITERMAN |
| 4467043 00 | Other | MN | MA - JAY THEISEN |
| 5124786 00 | Other | MN | MA - KARLA MUSSER |
| 8273090 00 | Other | MN | MA - JOHN LAMPERT |
| 8279578 00 | Other | MN | MA IN-HOME - GENERATIONS |
| 9831134 00 | Other | MN | MA CADI - GENERATIONS |
| 4724372 00 | Other | MN | MA - JORDAN HART |
| 0025101 00 | Other | MN | MA IN-OFFICE - GENERATION |
| 1366084 00 | Other | MN | MA - JENNIFER GERVAIS |
| 0616371 00 | Other | MN | MA - KATIE SHAW |
| 7126875 00 | Other | MN | MA - JOY PETERMANN |
| 7194978 00 | Other | MN | MA - KATHLEEN GORMAN |
| 7676920 00 | Other | MN | MA - VESSELA KOUNEVA |
| 558915 00 | Other | MN | MA - KIRSTEN JANKOVICH |
| 8226083 00 | Other | MN | MA - NICOLE HELLAND |
| 5041406 00 | Other | MN | MA - JO MCBRIDE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 1500 (Minnesota) | Primary |
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